Individual provider · Type 1 NPI
Sophia Konnackal Solomon
Medical-Surgical Registered Nurse · Rockville Centre, NY
NPI number
1629676515
Active
Practice location
1000 N Village Ave
Rockville Centre, NY 11570-1000
Mailing address
214 Doherty Ave
Elmont, NY 11003-3016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 736836-1 (NY) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1629676515
Sophia Konnackal Solomon's National Provider Identifier is 1629676515, issued on Oct 13, 2020. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Rockville Centre, NY. The record was last updated on Oct 13, 2020.