Provider Demographics
NPI:1619128329
Name:SOLANO
Entity Type:Organization
Organization Name:SOLANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-986-5091
Mailing Address - Street 1:1992 COMMERCE ST
Mailing Address - Street 2:SUITE 136
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4412
Mailing Address - Country:US
Mailing Address - Phone:800-986-5091
Mailing Address - Fax:800-986-5092
Practice Address - Street 1:1992 COMMERCE ST
Practice Address - Street 2:SUITE 136
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4412
Practice Address - Country:US
Practice Address - Phone:800-986-5091
Practice Address - Fax:800-986-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies