Provider Demographics
NPI:1477530046
Name:SOLOVAY, MARGIE ROBERTA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGIE
Middle Name:ROBERTA
Last Name:SOLOVAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11020 71ST RD
Mailing Address - Street 2:APT. 211
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4945
Mailing Address - Country:US
Mailing Address - Phone:718-520-8649
Mailing Address - Fax:718-544-3971
Practice Address - Street 1:10923 71ST RD
Practice Address - Street 2:SUITE 1H
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-520-8649
Practice Address - Fax:718-544-3971
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008847-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0031495Medicare ID - Type Unspecified