person
Harry Richard Black, MD
General Practice Physician in Syracuse, New York
NPI 1124124268

Harry Richard Black is a General Practice Physician based in Syracuse, NY. Harry Richard Black practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Harry Richard Black is 1124124268 and holds a License No. 119574 (New York).

The current practice location address for Harry Richard Black is 659 W Onondaga St, Syracuse, NY and can be reached out via phone at 315-475-5176 and via fax at 315-476-0263. You can also correspond with Harry Richard Black through the mailing address at 659 W ONONDAGA ST, SYRACUSE, NY - 13204 (mailing address contact number: 315-475-5176).

Location: 659 W Onondaga St, Syracuse, NY, 13204
person
Provider Profile Details
NPI Number
1124124268
Provider Name
Harry Richard Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
659 W Onondaga St, Syracuse, NY, 13204
Phone Number
315-475-5176
Fax Number
315-476-0263
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0018612 01 GHT
286833 01 UNITED HEALTHCARE
00981 01 BLUE SHIELD
321287 01 MVP
institution
Provider Business Practice Location Address Details
Address
659 W Onondaga St
City
State
Zip
13204
Phone Number
315-475-5176
Fax Number
315-476-0263
person
Provider Business Mailing Address Details
Address
659 W Onondaga St
City
State
Zip
13204
Phone Number
315-475-5176
Fax Number
315-476-0263
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
119574 (New York)
Definition
Definition to come...
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