Organization
SOLARIS DIAGNOSTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LERIDO GUERRERO MR (PRESIDENT)
(917) 704-3087
Entity
Organization
Contact information
Practice address
129 WADSWORTH AVE, SUITE 4, NEW YORK, NY 10033-4828
(212) 781-5891
(212) 781-6053
Mailing address
PO BOX 1043, NEW YORK, NY 10040-0812
(212) 781-5891
(212) 781-6053
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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