National Provider Identifier
Andrew S Black, DPM, PA
Andrew S Black, DPM, PA is listed in the NPPES registry with a primary specialty of Podiatrist in Horseheads, NY and a listed phone number of (607) 795-1666.
Profile Overview
- NPI
- 1073552105
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- June 05, 2006
- Last Updated
- November 20, 2020
Practice Location
- 100 John Roemmelt Dr Ste 102
- Horseheads, NY 14845-8302
Phone: (607) 795-1666
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Podiatrist (213E00000X)
- Foot Surgery Podiatrist (213ES0131X)
Full Record
- NPI
- 1073552105
- Entity Type
- Individual
- Last Name
- Black
- First Name
- Andrew
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- DPM, PA
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2099
- Practice Street Address
- 100 John Roemmelt Dr Ste 102
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8302
- Practice Country
- US
- Practice Phone
- (607) 795-1666
- Practice Fax
- (607) 796-0839
- Enumeration Date
- June 05, 2006
- Last Updated
- November 20, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X), Foot Surgery Podiatrist (213ES0131X)
- Other Identifiers
- 04308852 (NY), 103755030 (PA)