Provider Demographics
NPI:1639303241
Name:SOLOW, PATRICIA E (LCSW-R)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:SOLOW
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 WALL ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-7804
Mailing Address - Country:US
Mailing Address - Phone:516-381-9692
Mailing Address - Fax:631-673-5435
Practice Address - Street 1:214 WALL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7804
Practice Address - Country:US
Practice Address - Phone:516-381-9692
Practice Address - Fax:631-673-5435
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730735111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical