# SOLARIS DIAGNOSTIC CENTER, INC

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

## Provider details

- **NPI number:** 1922430057
- **Authorized official:** LERIDO GUERRERO MR (PRESIDENT)
- **Authorized official phone:** (917) 704-3087

## Contact information

- **Practice address:** 129 WADSWORTH AVE, SUITE 4, NEW YORK, NY 10033-4828
- **Practice address phone:** (212) 781-5891
- **Practice address fax:** (212) 781-6053
- **Mailing address:** PO BOX 1043, NEW YORK, NY 10040-0812
- **Mailing address phone:** (212) 781-5891
- **Mailing address fax:** (212) 781-6053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2013
- **Last updated:** 07/31/2013