Provider Demographics
NPI:1669352027
Name:SOLER, AMY (LPN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SOLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BROADALBIN
Mailing Address - State:NY
Mailing Address - Zip Code:12025-7726
Mailing Address - Country:US
Mailing Address - Phone:518-706-6062
Mailing Address - Fax:
Practice Address - Street 1:1870 COUNTY HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-6215
Practice Address - Country:US
Practice Address - Phone:518-954-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280865164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse