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General NPI Number Information
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NPI Number | 1295161305
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Entity Type | Organization
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Legal Business Name | SANFORD P SOLOMON MD PC
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 1 BARSTOW RD SUITE P 10
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City | GREAT NECK
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State | NY
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Zip | 11021-3540
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Country | US
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Telephone | 516-466-4114
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Fax | 516-466-4114
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Provider Business Mailing Address
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Address Line | 1 BARSTOW RD SUITE P 10
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City | GREAT NECK
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State | NY
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Zip | 11021-3540
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Country | US
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Telephone | 516-466-4114
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Fax | 516-466-4114
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Authorized Official
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Title or Position | PRESIDENT/ SOLE PROVIDER
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Name | DR. SANFORD P SOLOMON
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Credential | M.D.
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Telephone | 516-466-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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