Michelle Renee Black

NPI #1578030946 in Clinton, New York

Provider Information

NPI Number
1578030946
Entity Type
Individual
Name
Michelle Renee Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Oct 24, 2018
Last Updated
Oct 24, 2018

Practice Location

Address
19 ROBINSON RD
ZIP Code
13323-1418
Phone
(315) 853-6090

Specialties & Taxonomy Codes

Specialty
Specialist

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