Provider Demographics
NPI:1629209788
Name:SOLOMON, SINKSAR BAHRU (RN)
Entity Type:Individual
Prefix:MISS
First Name:SINKSAR
Middle Name:BAHRU
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:930 OGDEN AVENUE
Mailing Address - Street 2:APARTMENT # 31
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-5526
Mailing Address - Country:US
Mailing Address - Phone:917-207-1517
Mailing Address - Fax:
Practice Address - Street 1:930 OGDEN AVE
Practice Address - Street 2:APARTMENT # 31
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-5548
Practice Address - Country:US
Practice Address - Phone:917-207-1517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY583645-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice