Provider Demographics
NPI:1922852524
Name:SOLOMON, SHEILA D (LPN)
Entity Type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:D
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 EDGEBROOK EST APT 5
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14227-2006
Mailing Address - Country:US
Mailing Address - Phone:716-277-7466
Mailing Address - Fax:
Practice Address - Street 1:500 SENECA ST STE 500
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14204-1963
Practice Address - Country:US
Practice Address - Phone:716-881-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317530208000000X, 164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No208000000XAllopathic & Osteopathic PhysiciansPediatrics