Aaliyah J Black, PA-C
Physician Assistant in Hebron, Connecticut
1205677291- Practice location
- 21 Liberty Dr, Hebron, CT 06248
- Phone
- 860-228-9300
- Fax
- 860-228-4703
- Last updated
- July 2, 2026
Aaliyah Jordan Black is a Physician Assistant based in Hebron, CT. Aaliyah Jordan Black practices in Hebron, CT and has the professional credentials of PA-C. The NPI Number for Aaliyah Jordan Black is 1205677291. The current practice location address for Aaliyah Jordan Black is 21 Liberty Dr, Hebron, CT 06248 and can be reached out via phone at 860-228-9300 and via fax at 860-228-4703.
Provider Profile Details
- NPI Number
- 1205677291
- Provider Name
- Aaliyah Jordan Black
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Liberty Dr, Hebron, CT 06248
- Phone Number
- 860-228-9300
- Fax Number
- 860-228-4703
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 4, 2024
- Last Update Date
- July 2, 2026
- Certification Date
- July 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Liberty Dr
Hebron, CT 06248 - City
- Hebron
- State
- Connecticut
- Zip
- 06248
- Phone Number
- 860-228-9300
- Fax Number
- 860-228-4703
Provider Business Mailing Address Details
- Address
- 41 Massabesic Dr
Auburn, NH 03032-3167 - City
- Auburn
- State
- NH
- Zip
- 03032-3167
- Phone Number
- 860-228-9300
- Fax Number
- 860-228-4703
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Aaliyah J Black, PA-C?
The NPI number of Aaliyah J Black, PA-C is 1205677291. It was assigned on June 4, 2024 and is currently active in the NPPES registry.
What is the specialty of Aaliyah J Black, PA-C?
Aaliyah J Black, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Aaliyah J Black, PA-C practice?
The practice location is 21 Liberty Dr, Hebron, CT 06248. The office can be reached at 860-228-9300 (phone) or 860-228-4703 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205677291 directly on the NPPES registry website.