Provider Demographics
NPI:1013381714
Name:SOLAGES, MARIE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:SOLAGES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 BROADWAY
Mailing Address - Street 2:PO BOX 288
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2207
Mailing Address - Country:US
Mailing Address - Phone:631-608-4268
Mailing Address - Fax:
Practice Address - Street 1:263 BLUE POINT AVENUE
Practice Address - Street 2:CARING HANDS HOME CARE
Practice Address - City:BLUE POINT
Practice Address - State:NY
Practice Address - Zip Code:11715
Practice Address - Country:US
Practice Address - Phone:631-419-6737
Practice Address - Fax:631-868-3498
Is Sole Proprietor?:No
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY321992-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse