Individual
MR. LOUIS SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
240 PAGE AVE, STATEN ISLAND, NY 10307-1170
(718) 554-4762
(347) 983-4456
Mailing address
240 PAGE AVE, STATEN ISLAND, NY 10307-1170
(718) 554-4762
(347) 983-4456
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006929
NY
Other
Enumeration date
01/11/2011
Last updated
02/21/2013
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