1477530046 NPI number — DR. MARGIE ROBERTA SOLOVAY PH.D.

Table of content: DR. MARGIE ROBERTA SOLOVAY PH.D. (NPI 1477530046)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477530046 NPI number — DR. MARGIE ROBERTA SOLOVAY PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOLOVAY
Provider First Name:
MARGIE
Provider Middle Name:
ROBERTA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477530046
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11020 71ST RD
Provider Second Line Business Mailing Address:
APT. 211
Provider Business Mailing Address City Name:
FOREST HILLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11375-4945
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-520-8649
Provider Business Mailing Address Fax Number:
718-544-3971

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10923 71ST RD
Provider Second Line Business Practice Location Address:
SUITE 1H
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-520-8649
Provider Business Practice Location Address Fax Number:
718-544-3971
Provider Enumeration Date:
12/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  008847-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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