Provider Demographics
NPI:1215601968
Name:SOLOMON, NADIA JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:JEAN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-5802
Mailing Address - Country:US
Mailing Address - Phone:516-238-6316
Mailing Address - Fax:
Practice Address - Street 1:621 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-5802
Practice Address - Country:US
Practice Address - Phone:516-238-6316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010330-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor