Eucilda Black

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

314316 Issued in NY

Practice address

3480 Corsa Ave
Bronx, NY 10469-1837

Phone

(754) 422-6236

NPI assigned

Apr 30, 2015

Last updated

Sep 1, 2016By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1245617034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 CORSA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691837",
            "telephone_number": "754-422-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 CORSA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691837",
            "telephone_number": "754-422-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "EUCILDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BL Pain Management PLLC
• BL Pain Management PLLC
• Nancy Blace, M.D.PH.D.
• Nicola Black Singleton, LCSW
• Latondra M Black-Graham, LMSW
• Heather Marie Black, PHARM D
• Irwin Michael Black, LCSWR 041213 NYS
• Kristel Victoria Black, MD
• Pauline Black
• Simone Black

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.