MEDICARE: ALYSSA SOLARI

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	235Z00000X	Speech-Language Pathologist	032909-01	NY

General Provider Information

NPI Number	:	1457113045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA SOLARI

Provider Business Mailing Address
First Line	:	215 HART BLVD APT 6C
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 WOODROW RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-1725
Country	:	US
Telephone Number	:	917-426-9055
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	09/01/2025

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Directions to “ ALYSSA SOLARI ” Practice Location

Language	Start Address	Practice Location

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