Healthcare Provider Details

I. General information

NPI: 1134040959
Provider Name (Legal Business Name): SOLOMON GELAYE YINGES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKDALE PLZ
BROOKLYN NY
11212-3139
US

IV. Provider business mailing address

1031 THOMAS S BOYLAND ST
BROOKLYN NY
11212-4749
US

V. Phone/Fax

Practice location:
  • Phone: 718-240-5949
  • Fax:
Mailing address:
  • Phone: 332-283-0097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: