Provider Demographics
NPI:1871782284
Name:CHARLES R SOLANO DC & PEGGY A GRABINSKI-SOLANO DC PC
Entity type:Organization
Organization Name:CHARLES R SOLANO DC & PEGGY A GRABINSKI-SOLANO DC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-237-0110
Mailing Address - Street 1:1049 YONKERS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3035
Mailing Address - Country:US
Mailing Address - Phone:914-237-0110
Mailing Address - Fax:914-237-0898
Practice Address - Street 1:1049 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3035
Practice Address - Country:US
Practice Address - Phone:914-237-0110
Practice Address - Fax:914-237-0898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX001636-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYXBWFK1Medicare PIN