MEDICARE: SARA CAROLINA SOLONYNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		NY

General Provider Information

NPI Number	:	1104795335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA CAROLINA SOLONYNA

Provider Business Mailing Address
First Line	:	10860 HORACE HARDING EXPY APT 3K
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4386
Country	:	US
Telephone Number	:	929-531-0821
Fax Number	:

Provider Business Practice Location Address
First Line	:	10860 HORACE HARDING EXPY APT 3K
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4386
Country	:	US
Telephone Number	:	929-531-0821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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Directions to “ SARA CAROLINA SOLONYNA ” Practice Location

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