Individual
DR. MARK DAVID SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 ROUTE 25A, SUITE B1, MOUNT SINAI, NY 11766-2050
(631) 331-4403
(631) 331-1932
Mailing address
38 CASEY LN, MOUNT SINAI, NY 11766-2353
(631) 928-0990
(631) 928-7547
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
188451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01552189
—
NY
01
—
0570430012
CIGNA
NY
01
—
0C4369
PHS
NY
01
—
110090140
RAILROAD MEDICARE
NY
01
—
43342
VYTRA
NY
01
—
4611929
AETNA
NY
01
—
49H972
EMPIRE BCBS
NY
01
—
P846294
OXFORD
NY
01
—
PRV0004550
MONTEFIORE
NY
Enumeration date
08/12/2006
Last updated
10/02/2008
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