Search › New York › 363A00000X
Michael Black, PA-C, ATC
NPI 1376016873 · on the registry since 2019
Practice
- Address
- 541 E 71st St Fl 1
New York, NY 10021 - Phone
- (646) 797-8735
- Fax
- (646) 797-8726
- Organisation at this address
- Han Jo Kim Md Pc
Ryan Lingor Md Pc
Sravisht Iyer Md Pc
Eytan M Debbi Md Pc
William J Long Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 1133 Westchester Ave, White Plains, NY
- 535 E 70th St, New York, NY
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2255A2300X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-01
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