Provider Demographics
NPI:1265141576
Name:SOLER, GRESYL
Entity type:Individual
Prefix:MS
First Name:GRESYL
Middle Name:
Last Name:SOLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 MAIN ST APT C4
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5118
Mailing Address - Country:US
Mailing Address - Phone:929-509-2417
Mailing Address - Fax:
Practice Address - Street 1:200 VARICK ST RM 900
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-4893
Practice Address - Country:US
Practice Address - Phone:929-509-2417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY609998163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator