DR. ALAN HOWARD BLACK (NPI# 1912158064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912158064 |
| Entity Type | Individual |
| Full Name | DR. ALAN HOWARD BLACK |
| Credential | D.D.S. |
| Practice Address |
240 Patchogue Yaphank Rd Suite 104 East Patchogue NY 11772-4868 |
| Mailing Address |
11 Orange St Deer Park NY 11729-3524 |
| Practice Telephone | 6312893331 |
| Mailing Telephone | 6316673835 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
035629-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982841128 | Alan D Black | Licensed Practical Nurse | 650 Joel Drive, Bach-yec, Ft Campbell, KY 42223 | 2009-01-09 |
| 1336193630 | Alan Scott Black | Anesthesiology | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-05-20 |
| 1336131713 | Alan Wayne Black | Obstetrics & Gynecology | 5800 Colonial Dr, Suite 308, Margate, FL 33063-5682 | 2005-08-22 |
| Street Address |
240 PATCHOGUE YAPHANK RD SUITE 104 |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306861802 | Peter Chiu | Physical Medicine & Rehabilitation | 240 Patchogue Yaphank Rd, Suite 101, East Patchogue, NY 11772-4868 | 2006-07-13 |
| 1598136145 | Patchogue Orthodontics, PC | Clinic/Center | 240 Patchogue Yaphank Rd, East Patchogue, NY 11772-4868 | 2015-10-08 |
| 1649648635 | Joanne M Della Valle | Social Worker | 240 Patchogue Yaphank Rd, Suite 211, East Patchogue, NY 11772-4868 | 2015-09-08 |
| 1295071348 | Long Island Certified Hand Therapy and Custom Orthotics, Occupational | Occupational Therapist | 240 Patchogue Yaphank Rd, Suite 101, East Patchogue, NY 11772-4868 | 2012-12-18 |
| 1912168527 | Christine Beth Breyer | Social Worker | 240 Patchogue Yaphank Rd, East Patchogue, NY 11772-4868 | 2008-06-17 |
| 1730351057 | Jeffrey Scott Schultz | Dentist | 240 Patchogue Yaphank Rd, Suite 104, East Patchogue, NY 11772-4868 | 2008-03-26 |
| 1578772166 | Brookhaven Physical Medicine and Rehabilitation, P.C. | Physical Medicine & Rehabilitation | 240 Patchogue Yaphank Rd, Suite 101, East Patchogue, NY 11772-4868 | 2007-05-21 |
| 1679789929 | Nikki M Dematteo | Occupational Therapist | 240 Patchogue Yaphank Rd, Suite101, East Patchogue, NY 11772-4868 | 2007-05-15 |
| 1033232467 | Behavioral Health Medical Practice | Specialist | 240 Patchogue Yaphank Rd, Suite 211, East Patchogue, NY 11772-4868 | 2007-04-09 |
| 1033277595 | Theresa Ann Dempsey | Audiologist | 240 Patchogue Yaphank Rd, Suite 1, East Patchogue, NY 11772-4868 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| 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 |
|---|---|---|---|---|
| 1003912965 | Richard Cary Richter | Dentist | 680 S Country Rd, East Patchogue, NY 11772-5551 | 2006-09-16 |
| 1225418593 | Alexandra Richter | Dentist | 680 S Country Rd, East Patchogue, NY 11772-5551 | 2015-06-02 |
| 1184867608 | Carl Jeffrey Dropkin | Dentist | 285 Sills Rd, Building 12-a, East Patchogue, NY 11772-4869 | 2009-04-14 |
| 1881835221 | Seheui Jo | Dentist | 680 S Country Rd, East Patchogue, NY 11772-5551 | 2009-03-16 |
| 1730351057 | Jeffrey Scott Schultz | Dentist | 240 Patchogue Yaphank Rd, Suite 104, East Patchogue, NY 11772-4868 | 2008-03-26 |
| 1285732255 | Barbra J Seltzer | Dentist | 250 Patchogue Yaphank Rd, Suite 8, East Patchogue, NY 11772-4800 | 2006-09-21 |
| 1407955966 | Michael Haselkorn | Dentist | 240 Patchogue Yaphank Rd, East Patchogue, NY 11772-4868 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1447859509 | Scarsdale Plaza Dental Services, Pllc | Dentist | 455 Central Park Ave Ste 309, Scarsdale, NY 10583-1034 | 2020-10-20 |
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
Please comment or provide details below to improve the information on DR. ALAN HOWARD BLACK.
| 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.