Black, Harry Richard

Black, Harry Richard is an individual health care provider with primary practice located at 659 W Onondaga St , Syracuse NY 13204. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Black, Harry Richard can be contacted via phone (315) 475-5176.

Contact Information

Primary practice address
659 W Onondaga St Syracuse NY 13204
Phone: (315) 475-5176
Fax: (315) 476-0263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 119574 New York

Profile Details

NPI number 1124124268
LBN Legal business name Black, Harry Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1124124268 NPPES
Other 0018612 GHT
Other 286833 GHT
Other 00981 GHT
Other 321287 GHT

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