Suzanne Black, DVM

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

005292 Issued in NY

Practice address

1112 Morton Blvd
Kingston, NY 12401-1557

Phone

(845) 336-0713

Fax

(845) 336-0714

NPI assigned

Dec 7, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386374400000",
    "number": "1174954796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MORTON BLVD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011557",
            "telephone_number": "845-336-0713",
            "fax_number": "845-336-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 MORTON BLVD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011557",
            "telephone_number": "845-336-0713",
            "fax_number": "845-336-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SUZANNE",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-07",
        "last_updated": "2013-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NY",
            "license": "005292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Charlotte Bird, PHARM.D.
• R. Jane Birmingham
• Emily Mae Bishop, COTA/L
• Mariah Gertrude Bishop, RN
• Daniel Blachman, MD
• Jennifer Susan Blackmon, LCSW
• Rebecca Blackwell-Hafner, MSN, FNP-BC
• Albert John Blair III, M.D.
• Michael Paul Blankschen, PHD
• Dean Bloch, MD

• Veterinarian in Kingston, NY
• Providers in Kingston, NY by specialty
• Veterinarian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.