| Lois M. Black, Ph.d. | |
|
293 Rugby Rd Brooklyn NY 11226-4551 | |
| (718) 941-2437 | |
| Not Available |
| Full Name | Lois M. Black, Ph.d. |
|---|---|
| Speciality | Clinic/center |
| Location | 293 Rugby Rd, Brooklyn, New York |
| Authorized Official Name and Position | Lois M Black (SOLE OWNER) |
| Authorized Official Contact | 7189412437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lois M. Black, Ph.d. 293 Rugby Rd Brooklyn NY 11226-4551 Ph: (718) 941-2437 | Lois M. Black, Ph.d. 293 Rugby Rd Brooklyn NY 11226-4551 Ph: (718) 941-2437 |
| NPI Number | 1104037266 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104037266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 010125. (New York) | Primary |
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