Individual
CAROL ANNE SOLIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
128 MAINE AVE, STATEN ISLAND, NY 10314-2345
(347) 671-9374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322648
NY
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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