SUZANNE BLACK (NPI# 1174954796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174954796 |
| Entity Type | Individual |
| Full Name | SUZANNE BLACK |
| Credential | DVM |
| Practice Address |
1112 Morton Blvd Kingston NY 12401-1557 |
| Practice Telephone | 8453360713 |
| Practice Fax Number | 8453360714 |
| Mailing Telephone | 8453360713 |
| Mailing Fax Number | 8453360714 |
| Enumeration Date | 2013-12-07 |
| Last Update Date | 2013-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 005292 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776323 | Suzanne Alexandra Black | Psychologist | 345 Riverside Dr Apt 2f, New York, NY 10025-3452 | 2017-08-22 |
| 1720082167 | Suzanne D Black | Family Medicine | 2714 Osler Blvd, Bryan, TX 77802-2517 | 2005-06-13 |
| 1760980874 | Suzanne Black | Dietitian, Registered | 5211 Ne Glisan St Bldg C, Portland, OR 97213-3052 | 2018-01-24 |
| 1235512468 | Suzanne Marie Black | Registered Nurse | 1120 Lexington Ave Fl 2, New York, NY 10075-0309 | 2015-07-07 |
| 1962819979 | Suzanne Elizabeth Black | Registered Nurse | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2014-07-22 |
| 1699057471 | Suzanne Elizabeth Black | Specialist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2011-09-16 |
| 1700903424 | Suzanne B Black | Nurse Practitioner | 3333 Burnet Ave, Ml 2001, Cincinnati, OH 45229-3026 | 2007-03-26 |
| 1255497988 | Suzanne Black | Counselor | 100 Lafayette St, Pawtucket, RI 02860-6008 | 2006-12-28 |
| Street Address |
1112 MORTON BLVD |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952769762 | Jason Felver-gant | Veterinarian | 6996 Henderson Rd, Jamesville, NY 13078-9616 | 2016-02-08 |
| 1972975779 | Jennifer Puttress | Veterinarian | 394 Route 52, Carmel, NY 10512-5710 | 2015-10-20 |
| 1558732610 | Spencer Jake Herman | Veterinarian | 417 E 72nd St Apt 1a, New York, NY 10021-4415 | 2015-10-15 |
| 1467822155 | Stephanie Ulrich | Veterinarian | 360 Jericho Tpke, Syosset, NY 11791-4549 | 2015-10-07 |
| 1487024436 | Michali Berenstein | Veterinarian | 125 New Dorp Ln, Staten Island, NY 10306-3003 | 2015-10-03 |
| 1578946380 | David Alan Kolins | Veterinarian | 132 Jericho Tpke, Mineola, NY 11501-1856 | 2015-06-30 |
| 1629456470 | Jennifer Jane Peirick | Veterinarian | 116 Biomedical Education Building, 3435 Main St., Suny @ Buffalo, Laf, Buffalo, NY 14260 | 2015-05-13 |
| 1699164418 | Robert D. Hamilton | Veterinarian | 1961 Route 14, Lyons, NY 14489-9343 | 2015-01-16 |
| 1285032532 | Sasha Nelson | Veterinarian | 565 Columbus Ave, New York, NY 10024-2403 | 2014-12-17 |
| 1639585409 | Lorianne Fulco | Veterinarian | 9 Discovery Dr, Rensselaer, NY 12144-3452 | 2014-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUZANNE BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.