Andrew S Black
STEUBEN PODIATRY ASSOC., L.L.P


Address: 154 E 2nd St, Corning, NY 14830-2802
Phone: 6079366933

Andrew S Black (NPI# 1073552105, PAC ID# 5193860732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1073552105
PAC ID by PECOS 5193860732
Professional Enrollment ID I20160721000336
Full Name Andrew S Black
Organization Legal Name STEUBEN PODIATRY ASSOC., L.L.P
Address 154 E 2nd St
Corning
NY 14830-2802
Phone Number 6079366933
Gender M
Medical School TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1983
Primary Specialty PODIATRY
Group Practice PAC ID 5193844850
Number of Group Practice Members 2
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330277 CORNING HOSPITAL

Other Locations

Address Phone Organization
154 E 2nd St, Corning, NY 14830-2802 6079366933 STEUBEN PODIATRY ASSOC., L.L.P

Organization Information

Organization Legal Name STEUBEN PODIATRY ASSOC., L.L.P
Physicians 1

Office Location

Street Address 154 E 2ND ST
City CORNING
State NY
Zip 14830-2802

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Competitor

Search similar physicians

City CORNING
Zip Code 14830
Specialty PODIATRY
City + Specialty CORNING + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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