Black, Thomas

Black, Thomas is an individual health care provider with primary practice located at 1001 Main St Fl 4 , Buffalo NY 14203-1009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Black, Thomas can be contacted via phone (716) 323-0034.

Contact Information

Primary practice address
1001 Main St Fl 4 Buffalo NY 14203-1009
Phone: (716) 323-0034
Fax: (716) 323-0292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 86636 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 232292 New York

Profile Details

NPI number 1508838871
LBN Legal business name Black, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Oct 18th, 2021 - about 3 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 1508838871 NPPES
Other 1212594 IHA
Other 000527733002 IHA
Other 00026910202 IHA
MEDICAID 02577360 IHA
Other 070804000017 IHA
Other 000527733001 IHA
Other 00026910201 IHA

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