MEDICARE: DR. GREGORY W. SOLOMON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	190979	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	78J741	OTHER	NY	MEDICARE
7	P00197966	OTHER		RAILROAD MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	190979	OTHER	NY	STATE LICENSE
2	2505520	OTHER		GHI NUMBER
3	190162P	OTHER		HIP HEALTH PLAN NUMBER
4	134032742	OTHER		TAX ID
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	P1115588	OTHER		OXFORD HEALTH PLANS

General Provider Information

NPI Number	:	1548288392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY W. SOLOMON MD

Provider Business Mailing Address
First Line	:	899 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6103
Country	:	US
Telephone Number	:	212-717-9205
Fax Number	:	404-698-2599

Provider Business Practice Location Address
First Line	:	899 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6103
Country	:	US
Telephone Number	:	212-717-9205
Fax Number	:	404-698-2599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	03/07/2023

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Directions to “ DR. GREGORY W. SOLOMON MD” Practice Location

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