Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elines G Black

Individual provider Licensed Practical Nurse · NPI 1649086398

Elines G Black is a Licensed Practical Nurse in Deer Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

209 Sammis Ave
Deer Park, NY 11729-6814
Phone: (631) 943-4464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 351305 (NY)

Record details

NPI number1649086398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 7, 2024
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024
Mailing address209 Sammis Ave, Deer Park, NY 11729-6814

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