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Corey Black Dmd Pllc
Dental Clinic/Center in New York, New York
NPI 1043991342

Corey Black Dmd Pllc is a Dental Clinic/Center based in New York, NY and is specialized in Dental. Corey Black Dmd Pllc practices in New York, NY. The NPI Number for Corey Black Dmd Pllc is 1043991342 and holds a License No. (New York).

The current practice location address for Corey Black Dmd Pllc is 40 W 117Th St, New York, NY and can be reached out via phone at 347-315-3633.

Location: 40 W 117Th St, New York, NY, 10026-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043991342
Provider Name
Corey Black Dmd Pllc
Credential
Provider Entity Type
Organization
Address
40 W 117Th St, New York, NY, 10026-1921
Phone Number
347-315-3633
Fax Number
Provider Enumeration Date
07/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
40 W 117Th St
City
New York
State
New York
Zip
10026-1921
Phone Number
347-315-3633
Fax Number
person
Provider Business Mailing Address Details
Address
40 W 117Th St
City
New York
State
New York
Zip
10026-1921
Phone Number
347-315-3633
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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