LIDA DEE BLACK

SYRACUSE, NY
NPI1538283387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  004253)
Enumeration Date2007-03-19
Last Update Date2024-09-14
Business Address
MRS. LIDA DEE BLACK PT
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-488-2831
Mailing Address
MRS. LIDA DEE BLACK PT
712 ACKERMAN AVE
SYRACUSE, NY 13210-2905
Phone number: 315-476-4822
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