Provider Demographics
NPI:1689125619
Name:ULLOA-HITAJ, SOLANYI A (RN)
Entity Type:Individual
Prefix:
First Name:SOLANYI
Middle Name:A
Last Name:ULLOA-HITAJ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SOLANYI
Other - Middle Name:ALTAGRACIA
Other - Last Name:ULLOA ALMONTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12201-0653
Mailing Address - Country:US
Mailing Address - Phone:518-364-2635
Mailing Address - Fax:
Practice Address - Street 1:10 MAGNOLIA TER APT 2
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-1715
Practice Address - Country:US
Practice Address - Phone:518-364-2635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-14
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320598-1164W00000X
NY748548-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse