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Export Provider Record NPI 1104615715
Solomon David, Md Pc
Organization Subpart: NO
Active
NPI Number1104615715
NPI TypeNPI-2 Organization
SpecialtySurgery
Provider Details
NPI1104615715
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2025-05-01
Last Updated2026-05-13
Authorized OfficialSolomon David
President
Phone: 9173701291
Mailing Address19616 Hillside Ave Fl 1
Hollis, NY 11423-2125
United States
Phone: (718) 217-6806
📍 View Map
Primary Practice Address19616 Hillside Ave Fl 1
Hollis, NY 11423-2125
United States
Phone: (718) 217-6806 | Fax: (718) 217-0339
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No2086S0102X – Surgery, Surgical Critical Care
No208C00000X – Colon & Rectal Surgery
Yes208600000X – Surgery
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About NPI 1104615715

Solomon David, Md Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104615715. The primary specialty listed is Surgery. The organization is located in Hollis, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2025-05-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104615715?

NPI 1104615715 belongs to Solomon David, Md Pc, a Surgery in Hollis, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104615715 active?

The current status of NPI 1104615715 in the NPPES registry is Active. The record was last updated on 2026-05-13.

What specialty is NPI 1104615715?

NPI 1104615715 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104615715?

You can verify NPI 1104615715 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104615715?

The primary practice address on file for NPI 1104615715 is 19616 Hillside Ave Fl 1, Hollis, NY 11423-2125. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104615715 issued?

NPI 1104615715 was first issued (enumerated) on 2025-05-01. The NPPES record was last updated on 2026-05-13.

Practice Location Map

Solomon David, Md Pc is located at 19616 Hillside Ave Fl 1, Hollis, NY. Use the map below to find directions or verify the practice location.

📍 19616 Hillside Ave Fl 1, Hollis, NY 11423-2125  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Solomon David, Md Pc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162