Dr. Solomon Dalezman, M.D.

Internal Medicine, Nephrology in Staten Island, NY. Individual provider (NPI-1).

NPI number1992144646

StatusActive

Last updated in NPPESJul 19, 2018

Details

NPI: 1992144646
Entity type: Individual (NPI-1)
Name: Dr. Solomon Dalezman
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 17, 2013
Last updated: Jul 19, 2018

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - NEPHROLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RN0300X	Internal Medicine, Nephrology	288149	NY	Yes

Practice location

470 Seaview Ave
Staten Island, NY 10305

Phone 718-987-5940 · Fax 718-667-9708

Mailing address

97 New Dorp Ln Ste A
Staten Island, NY 10306-2364

Phone 718-876-6220 · Fax 718-876-5969

Is something wrong?

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Other Nephrology Physician providers in Staten Island, NY

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