Andrew S Black (NPI# 1073552105, PAC ID# 5193860732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330277 | CORNING HOSPITAL |
Address | Phone | Organization |
---|---|---|
154 E 2nd St, Corning, NY 14830-2802 | 6079366933 | STEUBEN PODIATRY ASSOC., L.L.P |
Organization Legal Name | STEUBEN PODIATRY ASSOC., L.L.P |
Physicians | 1 |
Street Address |
154 E 2ND ST |
City | CORNING |
State | NY |
Zip | 14830-2802 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel Vanslyke | Physical Therapy | 35 Bridge St, Suite 100, Corning, NY 14830-2206 | |
Janice E Green | Speech Language Pathologist | Juventas Physical Occupational and Speech Therapy Services Pllc | 35 Bridge St, Suite 101, Corning, NY 14830-2206 |
Amanda E Stuby | Chiropractic | 9 E Pulteney St, Corning, NY 14830-2208 | |
Janet L Fabian | Clinical Social Worker | 83 W Puteney St, Corning, NY 14830-2213 | |
Russell D Cranston | Ophthalmology | Southern Tier Assn F/t Visually Impaired Inc | 1 Park Ln, Corning, NY 14830-2221 |
Robert H Berry Jr. | Chiropractic | Hands On Chiropractic Pllc | 56 Bridge St, Corning, NY 14830-2239 |
Leigh C Berry | Chiropractic | Hands On Chiropractic Pllc | 56 Bridge St, Corning, NY 14830-2239 |
Denise Vera Nicastro | Chiropractic | Steuben Chiropractic Associates PC | 75 W Pulteney St, Corning, NY 14830-2252 |
David Benjamin Kartzman | Chiropractic | Steuben Chiropractic Associates PC | 75 W Pulteney St, Corning, NY 14830-2252 |
Diane I Legendre | Physician Assistant | Guthrie Medical Group PC | 130 Ctr Way, Corning, NY 14830-2255 |
Find all physicians in zip 14830 |
City | CORNING |
Zip Code | 14830 |
Specialty | PODIATRY |
City + Specialty | CORNING + PODIATRY |
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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.