Organization
ANNIE BLACK PT & REHAB PC
Active
Organization
ANNIE BLACK PT & REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE BLACK M.P.T. (PRESIDENT)
(718) 268-6072
Entity
Organization
Contact information
Practice address
11006 72ND AVE, SUITE MD 2, FOREST HILLS, NY 11375-4900
(718) 268-6072
(718) 268-0226
Mailing address
11006 72ND AVE, SUITE MD 2, FOREST HILLS, NY 11375-4900
(718) 268-6072
(718) 268-0226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6044-1
NY
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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