Provider Demographics
NPI:1346845054
Name:DANA SOLER NP IN ADULT HEALTH, P.C.
Entity Type:Organization
Organization Name:DANA SOLER NP IN ADULT HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:631-445-7277
Mailing Address - Street 1:1001 HAWKINS AVE UNIT 265
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-5012
Mailing Address - Country:US
Mailing Address - Phone:631-319-4114
Mailing Address - Fax:
Practice Address - Street 1:1001 HAWKINS AVE UNIT 265
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-5012
Practice Address - Country:US
Practice Address - Phone:631-445-7277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty