Provider Demographics
NPI:1518316488
Name:SOLODAR, FAINA (REGISTRED NURSE)
Entity Type:Individual
Prefix:
First Name:FAINA
Middle Name:
Last Name:SOLODAR
Suffix:
Gender:F
Credentials:REGISTRED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 CORBIN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4804
Mailing Address - Country:US
Mailing Address - Phone:718-415-4262
Mailing Address - Fax:718-273-7479
Practice Address - Street 1:84 CORBIN PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4804
Practice Address - Country:US
Practice Address - Phone:718-415-4262
Practice Address - Fax:718-273-7479
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5003361163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse