Individual
MRS. PAMELA B SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 KNOLL LN, SMITHTOWN, NY 11787-2325
(631) 656-6186
Mailing address
20 KNOLL LN, SMITHTOWN, NY 11787-2325
(631) 656-6186
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
02/05/2007
Last updated
07/25/2007
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