Provider Demographics
NPI:1952661407
Name:SOLANO, AURORA ELENA (MS)
Entity Type:Individual
Prefix:MS
First Name:AURORA
Middle Name:ELENA
Last Name:SOLANO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 ARCHER RD
Mailing Address - Street 2:SUITE 3E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-5825
Mailing Address - Country:US
Mailing Address - Phone:347-735-1100
Mailing Address - Fax:
Practice Address - Street 1:1530 ARCHER RD
Practice Address - Street 2:SUITE 3E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-5825
Practice Address - Country:US
Practice Address - Phone:347-735-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY765329174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist