Individual
MR. JUAN E SOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3531A JUNCTION BLVD, CORONA, NY 11368-1742
(718) 478-2979
Mailing address
151 SKILLMAN ST, BROOKLYN, NY 11205-3901
(718) 522-5372
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004857-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01388169
—
NY
Enumeration date
09/14/2006
Last updated
07/08/2007
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