| Aaliyah Jordan Black, PA-C | |
|
21 Liberty Dr, Hebron, CT 06248 | |
| (860) 228-9300 | |
| (860) 228-4703 |
| Full Name | Aaliyah Jordan Black |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 21 Liberty Dr, Hebron, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205677291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Aaliyah Jordan Black, PA-C 41 Massabesic Dr, Auburn, NH 03032-3167 Ph: (860) 228-9300 | Aaliyah Jordan Black, PA-C 21 Liberty Dr, Hebron, CT 06248 Ph: (860) 228-9300 |
Yana Goral, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9 Hearthstone Dr, Hebron, CT 06248 Phone: 860-301-8625 |
Allynna Jeanette Grills, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 255 Jagger Ln, Hebron, CT 06248 Phone: 860-949-5021 |