Healthcare Provider Details

I. General information

NPI: 1457424541
Provider Name (Legal Business Name): SOLOMON A DAVID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19616 HILLSIDE AVE
HOLLIS NY
11423-2125
US

IV. Provider business mailing address

19616 HILLSIDE AVE FL 1
HOLLIS NY
11423-2125
US

V. Phone/Fax

Practice location:
  • Phone: 631-350-6277
  • Fax:
Mailing address:
  • Phone: 718-217-6806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number238910
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number238910
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number238910
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: