Individual
DR. TREVOR EDWARD BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-1942
(518) 926-1943
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-1942
(518) 926-1943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
266458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62581
ALBANY MEDICAL CENTER IDENTIFICATION NUMBER
NY
Enumeration date
11/05/2008
Last updated
11/01/2012
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