# BRIAN C. SOLOMON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750593364
- **Authorized official:** DR. BRIAN CHRISTOPHER SOLOMON DC (SOUL PROPRIETOR TREATING DOCTOR)
- **Authorized official phone:** (315) 789-2602

## Contact information

- **Practice address:** 751 PRE EMPTION RD, SUITE 3, GENEVA, NY 14456-1335
- **Practice address phone:** (315) 789-2602
- **Practice address fax:** (315) 781-3288
- **Mailing address:** 751 PRE EMPTION RD, SUITE 3, GENEVA, NY 14456-1335
- **Mailing address phone:** (315) 789-2602
- **Mailing address fax:** (315) 781-3288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009981-1 | NY | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C09987-4W | WORKERS COMP | NY |
| 01 | — | PO10009981 | BLUE CROSS BLUE SHIELD | NY |
| 01 | — | PO10109981 | BLUE CHOICE | NY |