Provider Demographics
NPI:1689880551
Name:SOLOW, BEVERLY H (IBCLC)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:H
Last Name:SOLOW
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 PARK TER E
Mailing Address - Street 2:#C27
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1447
Mailing Address - Country:US
Mailing Address - Phone:212-567-1112
Mailing Address - Fax:
Practice Address - Street 1:65 PARK TER E
Practice Address - Street 2:#C27
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1447
Practice Address - Country:US
Practice Address - Phone:212-567-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191-10794174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist