Black, Annie

Black, Annie is an sole proprietor health care provider with primary practice located at 10850 71St Ave Suite Ll 1, Forest Hills NY 11375-4564. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Black, Annie can be contacted via phone (718) 268-6072.

Contact Information

Primary practice address
10850 71St Ave Suite Ll 1 Forest Hills NY 11375-4564
Phone: (718) 268-6072
Fax: (718) 268-0226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6044 New York

Profile Details

NPI number 1063412286
LBN Legal business name Black, Annie
Credentials M. A., P. T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Apr 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063412286 NPPES
Other P376499 OXFORD

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