Individual
IRENE SOLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
803 EAST 138TH, PORT MORRIS WELLNESS CENTER, BRONX, NY 10454-1902
(718) 292-6450
Mailing address
1500 WATERS PL, BLDG 102, WARD 20, FLOOR 6, BRONX, NY 10461-2723
(718) 409-9450
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245643
—
NY
Enumeration date
03/22/2007
Last updated
05/13/2008
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