Healthcare Provider Details

I. General information

NPI: 1386283232
Provider Name (Legal Business Name): SOLEDAD PIRRO MSN, FNP- BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2019
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 COMMUNITY DR
MANHASSET NY
11030-3802
US

IV. Provider business mailing address

5 RENAISSANCE SQ APT 11F
WHITE PLAINS NY
10601-3044
US

V. Phone/Fax

Practice location:
  • Phone: 516-562-0100
  • Fax:
Mailing address:
  • Phone: 914-263-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF342589
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: