Provider Demographics
NPI:1083258743
Name:SLEEP SUPPLIES PLUS
Entity Type:Organization
Organization Name:SLEEP SUPPLIES PLUS
Other - Org Name:SLEEP SUPPLY PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-507-2127
Mailing Address - Street 1:1200 WATERS PL STE 102
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2729
Mailing Address - Country:US
Mailing Address - Phone:888-507-2127
Mailing Address - Fax:
Practice Address - Street 1:1200 WATERS PL STE 102
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2729
Practice Address - Country:US
Practice Address - Phone:888-507-2127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies