Provider Demographics
NPI:1750422689
Name:SOLOMON, SINDY G (MD)
Entity type:Individual
Prefix:DR
First Name:SINDY
Middle Name:G
Last Name:SOLOMON
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 1:200 S BROADWAY STE 204
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4504
Mailing Address - Country:US
Mailing Address - Phone:302-551-2478
Mailing Address - Fax:914-693-1713
Practice Address - Street 1:200 S BROADWAY STE 204
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-4504
Practice Address - Country:US
Practice Address - Phone:302-551-2478
Practice Address - Fax:914-693-1713
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186899174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02337020Medicaid
NY182891Medicare ID - Type Unspecified