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HARRY RICHARD BLACK MD NPI 1124124268


NPI Information

NPI: 1124124268
Provider Name: HARRY RICHARD BLACK, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
659 W ONONDAGA ST
SYRACUSE, NY
ZIP 13204
Phone: (315) 475-5176
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Harry Richard Black, MD is a general practice in Syracuse, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Harry Richard Black, MD NPI is 1124124268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

659 W ONONDAGA ST
SYRACUSE, NY
ZIP 13204
Phone: (315) 475-5176
Fax: (315) 476-0263

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice119574NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1286833OTHERUNITED HEALTHCARE
2321287OTHERMVP
3D72337MEDICARE UPIN
40018612OTHERGHT
500981OTHERBLUE SHIELD
650530CMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.