Provider Demographics
NPI:1205915097
Name:SOLOMON, HELEN A (PHD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:A
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 W 79TH ST APT 11C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6400
Mailing Address - Country:US
Mailing Address - Phone:212-874-6936
Mailing Address - Fax:212-874-6936
Practice Address - Street 1:157 W 79TH ST APT 11C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6400
Practice Address - Country:US
Practice Address - Phone:212-874-6936
Practice Address - Fax:212-874-6936
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NJ44SC002969001041C0700X
NYPR01305711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N16701Medicare ID - Type Unspecified