Black, Andrew James

Black, Andrew James is an individual health care provider with primary practice located at 2215 Burdett Ave. Hmp Of Samaritan, Troy NY 12180-2466. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Black, Andrew James can be contacted via phone (518) 270-3094.

Contact Information

Primary practice address
2215 Burdett Ave. Hmp Of Samaritan Troy NY 12180-2466
Phone: (518) 270-3094
Fax: (518) 270-3095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 036-108517 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 244711 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 244711 New York

Profile Details

NPI number 1659318020
LBN Legal business name Black, Andrew James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659318020 NPPES
Illinois MEDICAID 036-108517

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