Individual
ELISSA NICOLE SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1065
(212) 774-7317
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1065
(212) 774-7317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1168557
NY
363A00000X
Physician Assistant
—
NY
363AS0400X
Surgical Physician Assistant
024193
NY
363AS0400X
Surgical Physician Assistant
Primary
5024
CT
Other
Enumeration date
09/10/2019
Last updated
10/31/2024
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