Provider Demographics
NPI:1548465230
Name:MISKIN, SOLOMON (MD)
Entity type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:
Last Name:MISKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 KITCHEL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-4517
Mailing Address - Country:US
Mailing Address - Phone:914-643-9021
Mailing Address - Fax:914-241-1471
Practice Address - Street 1:359 E MAIN ST
Practice Address - Street 2:SUITE 3C
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3028
Practice Address - Country:US
Practice Address - Phone:914-643-9021
Practice Address - Fax:914-241-1471
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1169452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry