Provider Demographics
NPI:1265133086
Name:SOLERO, JAMES ANTHONY (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ANTHONY
Last Name:SOLERO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 N BROADWAY STE 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1329
Mailing Address - Country:US
Mailing Address - Phone:914-509-4640
Mailing Address - Fax:914-346-5176
Practice Address - Street 1:1034 N BROADWAY STE 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1329
Practice Address - Country:US
Practice Address - Phone:914-509-4640
Practice Address - Fax:914-346-5176
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist