Individual
MRS. BETH ALLISON SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
630 W 168TH ST, PH 14 RM 104, NEW YORK, NY 10032-3725
(212) 305-7771
Mailing address
630 W 168TH ST, PH 14 RM 104, NEW YORK, NY 10032-3725
(212) 305-7771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013094
NY
Other
Enumeration date
01/08/2009
Last updated
08/08/2012
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