Doctor Name: | MS. ANNIE BLACK |
NPI Number: | 1063412286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. A., P. T. |
License Number: | 6044 |
Business Practice Address: | 10850 71st Ave Suite Ll 1 Forest Hills, NY - 113754564 |
Business Phone Number: | 7182686072 |
Business Fax Number: | 7182680226 |
Mailing Address: | 10850 71st Ave, Suite Ll 1 FOREST HILLS |
State: | NY |
Postal Code: | 113754564 |
Phone Number: | 7182686072 |
Fax Number: | 7182680226 |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |