Basic Information
| Provider Information | |||||||||
| NPI: | 1912361643 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOLTANI | ||||||||
| FirstName: | AMIN | ||||||||
| MiddleName: | K. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 505 EAST 70TH STREET | ||||||||
| Address2: | WEILL CORNELL INTERNAL MEDICINE ASSOCIATES | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127469663 | ||||||||
| FaxNumber: | 2127463609 | ||||||||
| Practice Location | |||||||||
| Address1: | 505 EAST 70TH STREET | ||||||||
| Address2: | WEILL CORNELL INTERNAL MEDICINE ASSOCIATES | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127469663 | ||||||||
| FaxNumber: | 2127463609 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2016 | ||||||||
| LastUpdateDate: | 05/25/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.