MEDICARE: DR. ROBERT SOLOMON MD

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	2085R0202X	Diagnostic Radiology Physician	180577	NY

General Provider Information

NPI Number	:	1720050040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT SOLOMON MD

Provider Business Mailing Address
First Line	:	2270 KIMBALL ST
Second Line	:	SUITE 102
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5139
Country	:	US
Telephone Number	:	718-253-6616
Fax Number	:	718-253-7059

Provider Business Practice Location Address
First Line	:	2270 KIMBALL ST
Second Line	:	SUITE 102
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5139
Country	:	US
Telephone Number	:	718-253-6616
Fax Number	:	718-253-7059

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	06/05/2015

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