Provider Demographics
NPI:1972372894
Name:DERMALEV SOLUTIONS INC
Entity Type:Organization
Organization Name:DERMALEV SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLEIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:516-423-9086
Mailing Address - Street 1:800 NORTHERN BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5314
Mailing Address - Country:US
Mailing Address - Phone:516-610-0037
Mailing Address - Fax:
Practice Address - Street 1:800 NORTHERN BLVD STE 5
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5314
Practice Address - Country:US
Practice Address - Phone:516-610-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty