Provider Demographics
NPI:1861649048
Name:SOLOMON, MAUREEN ELENA (RN)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELENA
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:ELENA
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:169 W MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-7228
Mailing Address - Country:US
Mailing Address - Phone:516-483-8572
Mailing Address - Fax:516-483-8572
Practice Address - Street 1:169 W MARSHALL ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-7228
Practice Address - Country:US
Practice Address - Phone:516-483-8572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255717-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse