Provider Demographics
NPI:1972752343
Name:TOMANOVA-SOLTYS, INGRID (MD)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:
Last Name:TOMANOVA-SOLTYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 FRANKLIN PLACE
Mailing Address - Street 2:FIVE TOWNS PEDIATRICS
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598
Mailing Address - Country:US
Mailing Address - Phone:516-295-1200
Mailing Address - Fax:
Practice Address - Street 1:145 FRANKLIN PLACE
Practice Address - Street 2:FIVE TOWNS PEDIATRICS
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598
Practice Address - Country:US
Practice Address - Phone:516-295-1200
Practice Address - Fax:516-295-1207
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254099208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics