MEDICARE: SOLISA LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1841154358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLISA LLC

Provider Business Mailing Address
First Line	:	5624 MERRICK RD
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-6217
Country	:	US
Telephone Number	:	516-960-5201
Fax Number	:

Provider Business Practice Location Address
First Line	:	5624 MERRICK RD
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-6217
Country	:	US
Telephone Number	:	516-960-5201
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LILIAH DYAL-GUALBANCE
Credential	:
Telephone Number	:	516-960-5201

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

Similar Medicare Providers

1215033139 — YOUTH ENVIRONMENTAL SERVICES, INC.
Practice Location Address:

75 GRAND AVE
MASSAPEQUA, NY
11758-4905

Practice Phone: 516-799-3203
Practice Fax:

1902656879 — MS. TIFFANY STACY CARPIO MHC-LP
Practice Location Address:

75 GRAND AVE
MASSAPEQUA, NY
11758-4905

Practice Phone: 516-343-6900
Practice Fax:

1104789577 — MICHELLE HARCLERODE
Practice Location Address:

75 GRAND AVE
MASSAPEQUA, NY
11758-4905

Practice Phone: 516-799-3203
Practice Fax:

1659234037 — BARBATI CHIROPRACTIC PLLC
Practice Location Address:

651 BROADWAY
MASSAPEQUA, NY
11758-2313

Practice Phone: 917-941-4897
Practice Fax:

1932102688 — DR. PAUL BARRY BERNSTEIN DPM
Practice Location Address:

4200 SUNRISE HWY
MASSAPEQUA, NY
11758-5303

Practice Phone: 516-795-9030
Practice Fax: 516-513-1605

1831192376 — JAY B. LUBLINER, DMD, PLLC
Practice Location Address:

89 GRAND AVE
MASSAPEQUA, NY
11758-4905

Practice Phone: 516-798-0223
Practice Fax: 516-798-1970

Directions to “SOLISA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.