Provider Demographics
NPI:1528276268
Name:SOLOWAY, MARVIN (DC)
Entity type:Individual
Prefix:
First Name:MARVIN
Middle Name:
Last Name:SOLOWAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 D AURIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410
Mailing Address - Country:US
Mailing Address - Phone:201-791-7347
Mailing Address - Fax:201-791-0317
Practice Address - Street 1:FRED WISHNER DC MARVIN SOLOWAY DC
Practice Address - Street 2:130 W 42 ST STE 604
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036
Practice Address - Country:US
Practice Address - Phone:212-704-0368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0015461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor