| NPI | 1104037266 |
|---|---|
| Doing Business As | LOIS M. BLACK, PH.D. |
| Entity Type | Organization |
| Authorized Contact | LOIS M BLACK Sole Owner 718-941-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 010125.) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |