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Individual

DR. SOLOMON DALEZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
470 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 987-5940
(718) 667-9708
Mailing address
97 NEW DORP LN STE A, STATEN ISLAND, NY 10306-2364
(718) 876-6220
(718) 876-5969

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
288149
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05081681
NY
01
A400194584
MEDICARE
NY
Enumeration date
06/17/2013
Last updated
07/19/2018
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