Dr. Caroline O Black
Pediatric Emergency Physician
Pediatric Emergency Department 30 Prospect Ave
Hackensack
, New Jersey 07601-0760
Dr. Caroline O Black
Pediatric Emergency Physician
Pediatric Emergency Department 30 Prospect Ave
Hackensack
, New Jersey 07601-0760
(212) 241-1279
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Caroline O Black
- Po Box 1149 One Gustatve Place Mt Sinai Medical Center Dept Of Emergency Medicine
- New York, NY
- Zip : 10029-0311
- Fax : (212) 241-1279
- Phone : (212) 824-8069
Second Address
- Dr. Caroline O Black
- Pediatric Emergency Department 30 Prospect Ave
- Hackensack, NJ
- Zip : 07601-0760
- Phone : (551) 996-2000
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Is Dr. Caroline O Black a sole practitioner?
Is Dr. Caroline O Black accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 25MA10612900 | NJ |
National Provider Identifier
| NPI | 1023351079 |
|---|---|
| Provider Name | Dr. Caroline O Black |
| First Address | New York, NY 10029-0311 |
| Second Address | Hackensack, NJ 07601-0760 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2013 |
| Last Update Date | 18/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.