Healthcare Provider Details

I. General information

NPI: 1881853893
Provider Name (Legal Business Name): JANELLE SOLOMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BROADWAY RM 1010
NEW YORK NY
10038-4377
US

IV. Provider business mailing address

150 BROADWAY RM 1010
NEW YORK NY
10038-4377
US

V. Phone/Fax

Practice location:
  • Phone: 347-556-2525
  • Fax:
Mailing address:
  • Phone: 347-556-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number574229
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number343328
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number574229
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: