Individual provider · Type 1 NPI

Michael Vincent Black, PA-C, ATC

Physician Assistant · New York, NY

NPI number 1376016873 Active

Practice location

541 E 71st St Fl 1
New York, NY 10021-4871

Call (646) 797-8735 Map

Fax (646) 797-8726

Mailing address

535 E 70th St
New York, NY 10021-4823

Other practice locations

  • 1133 Westchester Ave, White Plains, NY 10604-3516 · (646) 797-8735
  • 535 E 70th St, New York, NY 10021-4823 · (646) 797-8735

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X002248 (NY)
Physician Assistant Primary 363A00000X023345 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376016873

Michael Vincent Black, PA-C, ATC's National Provider Identifier is 1376016873, issued on Jan 7, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Nov 1, 2024.