Provider Demographics
NPI:1831574417
Name:SOLANO, OLIVIA
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:SOLANO
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 1:461 RIVERDALE AVE
Mailing Address - Street 2:APT. 1J
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2970
Mailing Address - Country:US
Mailing Address - Phone:914-396-5416
Mailing Address - Fax:
Practice Address - Street 1:461 RIVERDALE AVE
Practice Address - Street 2:APT. 1J
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2933
Practice Address - Country:US
Practice Address - Phone:914-396-5416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY417077163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse