Provider Demographics
NPI:1558545293
Name:SOLDINGER, STEPHANIE MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:MARIE
Last Name:SOLDINGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:MARIE
Other - Last Name:SOLDINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:24946 HORACE HARDING EXPY
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2050
Mailing Address - Country:US
Mailing Address - Phone:718-747-0182
Mailing Address - Fax:718-747-0186
Practice Address - Street 1:24946 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-2050
Practice Address - Country:US
Practice Address - Phone:718-747-0182
Practice Address - Fax:718-747-0186
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2008-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048436-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist