=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013979293
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NASIER B SOLIMAN M.D
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/04/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 137 HELENA AVE
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10710-3024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-961-8030
-----------------------------------------------------
Fax | 914-779-3541
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 137 HELENA AVE
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10710-3024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-961-8030
-----------------------------------------------------
Fax | 914-779-3541
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 147042
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------