MEDICARE: DR. KENNETH F SOLINSKY 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	207RR0500X	Rheumatology Physician	120063	NY

General Provider Information

NPI Number	:	1811933658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH F SOLINSKY MD

Provider Business Mailing Address
First Line	:	46 LITTLE EAST NECK ROAD N
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11702-2516
Country	:	US
Telephone Number	:	631-661-0300
Fax Number	:	631-661-0301

Provider Business Practice Location Address
First Line	:	46 LITTLE EAST NECK ROAD N
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11702-2516
Country	:	US
Telephone Number	:	631-661-0300
Fax Number	:	631-661-0301

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	07/08/2007

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