Provider Demographics
NPI:1255426904
Name:SOLOMIANKO, GRAZYNA (PT)
Entity type:Individual
Prefix:MRS
First Name:GRAZYNA
Middle Name:
Last Name:SOLOMIANKO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 PASADENA DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3706
Mailing Address - Country:US
Mailing Address - Phone:516-931-2780
Mailing Address - Fax:516-938-1129
Practice Address - Street 1:4 PASADENA DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-3706
Practice Address - Country:US
Practice Address - Phone:516-931-2780
Practice Address - Fax:516-938-1129
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist