Individual
KADIAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1307 E 94TH ST, BROOKLYN, NY 11236-4301
(347) 278-5780
Mailing address
1307 E 94TH ST, BROOKLYN, NY 11236-4301
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
813885
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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