Provider Demographics
NPI:1396382420
Name:SOLOMON, DANIELLE MARIE (DAOM)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:DAOM
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAOM
Mailing Address - Street 1:44 LISPENARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2550
Mailing Address - Country:US
Mailing Address - Phone:908-531-3631
Mailing Address - Fax:
Practice Address - Street 1:44 LISPENARD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2550
Practice Address - Country:US
Practice Address - Phone:908-531-3631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002104171100000X
NY002014171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist