Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 135946 | NY |
NPI | 1285721639 |
---|---|
Provider Name | Ronald Solomon |
First Address | Belfast, ME 04915-4023 |
Second Address | Brooklyn, NY 11201-3600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 08/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00764585 | (05) | NY |