MEDICARE: DERMALEV SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ND0900X	Dermatopathology Physician

General Provider Information

NPI Number	:	1972372894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMALEV SOLUTIONS INC

Provider Business Mailing Address
First Line	:	800 NORTHERN BLVD STE 5
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5314
Country	:	US
Telephone Number	:	516-610-0037
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MIDDLE NECK RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-1107
Country	:	US
Telephone Number	:	516-452-9800
Fax Number	:

Authorized Official
Title or Position	:	MANAGEMENT OFFICER
Name	:	DAVID SOLEIMANI
Credential	:	MANAGER
Telephone Number	:	516-423-9086

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	02/26/2026

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Directions to “DERMALEV SOLUTIONS INC ” Practice Location

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