Individual
SUZANNE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
1112 MORTON BLVD, KINGSTON, NY 12401-1557
(845) 336-0713
(845) 336-0714
Mailing address
1112 MORTON BLVD, KINGSTON, NY 12401-1557
(845) 336-0713
(845) 336-0714
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
005292
NY
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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