Provider Demographics
NPI:1396370672
Name:SOLIMAN, BASSEM (DC)
Entity Type:Individual
Prefix:DR
First Name:BASSEM
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0533
Mailing Address - Country:US
Mailing Address - Phone:914-475-7549
Mailing Address - Fax:
Practice Address - Street 1:90 WATCH HILL DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1015
Practice Address - Country:US
Practice Address - Phone:914-475-7549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-07
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012822-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor