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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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		119574	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	286833	OTHER	UNITED HEALTHCARE
2	321287	OTHER	MVP
3	D72337	MEDICARE UPIN
4	0018612	OTHER	GHT
5	00981	OTHER	BLUE SHIELD
6	50530C	MEDICARE 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: 11/21/2025

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