Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 007627 | NY |
NPI | 1003121666 |
---|---|
Provider Name | Dina Solanky |
First Address | Jersey City, NJ 07302-4063 |
Second Address | New York, NY 10032-1538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2010 |
Last Update Date | 01/02/2016 |