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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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