Individual
SOLOMON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
114 5TH AVE FL 2, NEW YORK, NY 10011-5611
(646) 942-7828
Mailing address
1885 HYLAN BLVD # 1143, STATEN ISLAND, NY 10305-2110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16679700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407813
NY
Other
Enumeration date
11/14/2016
Last updated
02/21/2026
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