Individual
DR. ELEANORE KRISTY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3409
Mailing address
38 VOLUNTEER LN APT 4E, GREENWICH, CT 06830-5463
(203) 863-3409
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
65343
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
11/10/2020
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