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

Sandra Jo Black

Individual provider Specialist · NPI 1699512731

Sandra Jo Black is a Specialist in Utica, 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

408 Elizabeth St
Utica, NY 13501-2306
Phone: (315) 797-2233
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 764634 (NY)

Record details

NPI number1699512731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address408 Elizabeth St, Utica, NY 13501-2306

Other providers in Utica