Provider Demographics
NPI:1841522679
Name:SOLIMAN, JOSEPH (RPH PHARM D)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:RPH PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2864 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7824
Mailing Address - Country:US
Mailing Address - Phone:212-316-5113
Mailing Address - Fax:
Practice Address - Street 1:2864 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7824
Practice Address - Country:US
Practice Address - Phone:212-316-5113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053412-1183500000X
NJ28RI03263900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist