DR. COREY L BLACK (NPI# 1952839318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952839318 |
| Entity Type | Individual |
| Full Name | DR. COREY L BLACK |
| Credential | DMD |
| Practice Address |
1035 Fulton St Ste 1 Brooklyn NY 11238-5276 |
| Practice Telephone | 3473914279 |
| Mailing Telephone | 3473914279 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
059870 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325607 | Corey Black | Psychologist | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2019-06-20 |
| 1457398422 | Corey Black | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2006-05-31 |
| Street Address |
1035 FULTON ST STE 1 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11238-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487288601 | Bk Smiling Dentistry Pllc | Clinic/Center | 1035 Fulton St Ste 1, Brooklyn, NY 11238-5276 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434135 | Shuowen Zhang | Social Worker | 535 Clinton Ave, 2nd Floor, Brooklyn, NY 11238 | 2020-07-06 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1558912311 | Haruka Ka | Social Worker | 535 Clinton Avenue, 2nd Floor, Brooklyn, NY 11238 | 2019-09-24 |
| 1407406978 | Zilin Li | Counselor | 535 Clinton Ave 2nd Floor, Community Counseling and Mediation, Brooklyn, NY 11238 | 2019-09-17 |
| 1770065492 | Batsheva Becher | Occupational Therapist | 419 Waverly Ave, Brooklyn, NY 11238 | 2018-08-29 |
| 1083194351 | Manhattan Integrative Gastroenterology | Internal Medicine | 550 Vanderbilt Ave Apt 803, Brooklyn, NY 11238 | 2018-08-16 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| 1053820464 | Darlene Latasha Parham | Registered Nurse | 400 Saint Marks Ave, 2a, Brooklyn, NY 11238 | 2017-09-28 |
| 1578085585 | Rocio Sorribas | Specialist | 244 Lafayette Avenue, Floor 1, Brooklyn, NY 11238 | 2017-07-11 |
| 1528509056 | Carolanne Marcantonio | Social Worker | 60 Plaza St East, Bs-1, Brooklyn, NY 11238 | 2017-03-16 |
| Find all providers in zip 11238 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1558909655 | Moonlight Smile Dental PC | Dentist | 3064 Coney Island Ave Ste 1a, Brooklyn, NY 11235-6475 | 2019-12-19 |
| 1336795897 | Mark D. Debock Dds | Dentist | 7500 4th Ave Ste A1, Brooklyn, NY 11209-3209 | 2019-08-12 |
| 1891357281 | David Barton | Dentist | 374 Stanhope St, Brooklyn, NY 11237-4434 | 2019-07-05 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1225693724 | Mk Smile Dental PC | Dentist | 2860 Ocean Ave Apt A1, Brooklyn, NY 11235-3111 | 2019-05-09 |
| 1265095335 | Malayev Dental P.C. | Dentist | 502 39th St Apt 2f, Brooklyn, NY 11232-3025 | 2019-04-15 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1124595517 | Maria Jezrell Santos | Dentist | 1641 Ryder St, Brooklyn, NY 11234-4306 | 2018-10-24 |
| Find all providers in BROOKLYN | ||||
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| 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.