Healthcare Provider Details

I. General information

NPI: 1013828615
Provider Name (Legal Business Name): MS. NECHAMA SOLOVEITCHIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LYNHAVEN CT
MONSEY NY
10952-2411
US

IV. Provider business mailing address

2 LYNHAVEN CT
MONSEY NY
10952-2411
US

V. Phone/Fax

Practice location:
  • Phone: 845-274-1965
  • Fax:
Mailing address:
  • Phone: 845-274-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number2101855261
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: