Individual
DR. STEPHEN S SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
293 MAIN ST, OWEGO, NY 13827
(607) 687-3391
(607) 687-4226
Mailing address
PO BOX 297, 293 MAIN ST, OWEGO, NY 13827-0297
(607) 687-3391
(607) 687-4226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4287197
AETNA
—
01
—
598222
MVP
—
Enumeration date
02/14/2006
Last updated
01/10/2008
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