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

Nathaniel Ryan Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568214773

Nathaniel Ryan Black is a Student in an Organized Health Care Education/Training Program in Albany, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

391 Myrtle Ave
Albany, NY 12208-3835
Phone: (518) 264-5026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 64899 (NY)

Record details

NPI number1568214773
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateMarch 29, 2024
Mailing addressDept. Of Ob/Gyn 391 Myrtle Ave, Albany, NY 12208-3835

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