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Contact Information

RONNI SOLLAZZO, MD
267 E MAIN ST BLDG C
SMITHTOWN, NY11787-2847
 Phone: 631-418-8069
 Fax: 631-638-4926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RONNI SOLLAZZO · (Female)

NPI # 1518038009
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2006
Last updated 09/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 165065
  • NY License # 165065-1
  • NY Medicaid 01327164
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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