Healthcare Provider Details

I. General information

NPI: 1295212272
Provider Name (Legal Business Name): KAREN PINEDA SOLIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 07/07/2023
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

20 BROOKSCREST WAY
ROCHESTER NY
14611-4060
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-4607
  • Fax:
Mailing address:
  • Phone: 585-739-9153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number311642
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number311642
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: