Provider Demographics
NPI:1285949842
Name:MARGIE R. SOLOVAY
Entity type:Organization
Organization Name:MARGIE R. SOLOVAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:ROBERTA
Authorized Official - Last Name:SOLOVAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:718-520-8649
Mailing Address - Street 1:11020 71ST RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4914
Mailing Address - Country:US
Mailing Address - Phone:718-520-8649
Mailing Address - Fax:718-544-3971
Practice Address - Street 1:10923 71ST RD
Practice Address - Street 2:SUITE 1H
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4849
Practice Address - Country:US
Practice Address - Phone:718-520-8649
Practice Address - Fax:718-544-3971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-07
Last Update Date:2010-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8847103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY31495Medicare UPIN