Tina Black

NPI #1750853305 in Rosedale, New York

Provider Information

NPI Number
1750853305
Entity Type
Individual
Name
Tina Black
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 20, 2018
Last Updated
Dec 20, 2018

Practice Location

Address
24325 CANEY RD
ZIP Code
11422-2329
Phone
(347) 653-3465

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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