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Individual

DR. HOWARD M BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
96 COURT ST, PLATTSBURGH, NY 12901-2733
(518) 563-8822
(518) 562-3316
Mailing address
96 COURT ST, PLATTSBURGH, NY 12901-2733
(518) 563-8822
(518) 562-3316

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
129218
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00643105
NY
Enumeration date
08/01/2006
Last updated
09/17/2007
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