Individual
DR. CHRISTOPHER PHILIP BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18983 US ROUTE 11, WATERTOWN, NY 13601-5320
(315) 782-0059
(315) 782-0226
Mailing address
18983 US ROUTE 11, WATERTOWN, NY 13601-5320
(315) 782-0059
(315) 782-0226
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
185396
NY
207Q00000X
Family Medicine Physician
Primary
185396
NY
Other
Enumeration date
11/18/2005
Last updated
03/15/2019
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