Provider Demographics
NPI:1619356284
Name:AINA, SOLOMON (LPN)
Entity Type:Individual
Prefix:
First Name:SOLOMON
Middle Name:
Last Name:AINA
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 NEW YORK AVE
Mailing Address - Street 2:APT 3G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-6249
Mailing Address - Country:US
Mailing Address - Phone:347-600-9500
Mailing Address - Fax:
Practice Address - Street 1:1360 NEW YORK AVE
Practice Address - Street 2:APT 3G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-6249
Practice Address - Country:US
Practice Address - Phone:347-600-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299189164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse