Provider Demographics
NPI:1275504722
Name:SOLOMON, SHERRY KAPLAN (MD)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:KAPLAN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WHITE PLAINS RD
Mailing Address - Street 2:STE 343
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5013
Mailing Address - Country:US
Mailing Address - Phone:914-725-5400
Mailing Address - Fax:914-725-2599
Practice Address - Street 1:700 WHITE PLAINS RD
Practice Address - Street 2:STE 343
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5013
Practice Address - Country:US
Practice Address - Phone:914-725-5400
Practice Address - Fax:914-725-2599
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1717141207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01250480Medicaid
NY01250480Medicaid
NYWFE881Medicare ID - Type UnspecifiedGROUP #
E62764Medicare UPIN