Solomon, Sarra Gwyn

Solomon, Sarra Gwyn is an individual health care provider with primary practice located at 220 Steuben St , Montour Falls NY 14865-9740. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Solomon, Sarra Gwyn can be contacted via phone (607) 535-8639.

Contact Information

Primary practice address
220 Steuben St Montour Falls NY 14865-9740
Phone: (607) 535-8639
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 189534-1 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 189534-1 New York

Profile Details

NPI number 1831164060
LBN Legal business name Solomon, Sarra Gwyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Aug 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831164060 NPPES
New York MEDICAID 02407734
New York Other CC8362
New York MEDICAID 0019690080001
New York Other P00026954

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