Provider Demographics
NPI:1609217587
Name:SOLOVYANCHIK, DIANA (MS ED)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:SOLOVYANCHIK
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5533
Mailing Address - Country:US
Mailing Address - Phone:917-520-4346
Mailing Address - Fax:
Practice Address - Street 1:69 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5533
Practice Address - Country:US
Practice Address - Phone:917-520-4346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist