Provider Demographics
NPI:1962280420
Name:SOLIMAN, MARIAM E (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:E
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 WATCH HILL DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1015
Mailing Address - Country:US
Mailing Address - Phone:845-264-0712
Mailing Address - Fax:
Practice Address - Street 1:90 WATCH HILL DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1015
Practice Address - Country:US
Practice Address - Phone:845-264-0712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311262363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health