Annie Black, M. A., P. T

NPI 1063412286 · on the registry since 2005 · sole proprietor

Practice

Address: 10850 71st Ave
Suite Ll 1
Forest Hills, NY 11375
Phone: (718) 268-6072
Fax: (718) 268-0226
Organisation at this address: Rolland Rogers Dds Estate
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York