Individual
ANNA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E 76TH ST APT 8D, NEW YORK, NY 10021-2516
(604) 916-0822
Mailing address
425 E 76TH ST APT 8D, NEW YORK, NY 10021-2516
(604) 916-0822
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
340323-01
NY
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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