Dr. Libby Black's National Provider Identifier (NPI) Details
Dr. Libby Black, MSEd, MS
NPI: 1205987740
Enumeration Date: 2007-01-12
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 9221 76TH ST, WOODHAVEN, NY
Phone: 212-365-8742
Primary Practice Address: 9221 76TH ST, WOODHAVEN, NY
Practice's phone: 212-365-8742