Provider Demographics
NPI:1336272269
Name:SCHULMAN, SOLOMON J (PT)
Entity Type:Individual
Prefix:
First Name:SOLOMON
Middle Name:J
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 NW BOCA RATON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1609
Mailing Address - Country:US
Mailing Address - Phone:561-362-6400
Mailing Address - Fax:561-391-8049
Practice Address - Street 1:1356 NW BOCA RATON BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1609
Practice Address - Country:US
Practice Address - Phone:561-362-6400
Practice Address - Fax:561-391-8049
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPT9556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6039OtherMEDICARE PROVIDER NUMBER