Provider Demographics
NPI:1376691113
Name:SOLOMON, BARTON SETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:SETH
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 HAMPTON RD
Mailing Address - Street 2:UNIT # 20
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-3024
Mailing Address - Country:US
Mailing Address - Phone:516-375-7249
Mailing Address - Fax:
Practice Address - Street 1:545 HAMPTON RD
Practice Address - Street 2:UNIT # 20
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-3024
Practice Address - Country:US
Practice Address - Phone:516-375-7249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health