Provider Demographics
NPI:1437434925
Name:CITYWIDE C SLEEP CENTER LLC
Entity Type:Organization
Organization Name:CITYWIDE C SLEEP CENTER LLC
Other - Org Name:CITYWIDE C SLEEP CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD FCCP
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRISHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-347-0411
Mailing Address - Street 1:250-12 B HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426
Mailing Address - Country:US
Mailing Address - Phone:718-347-0411
Mailing Address - Fax:718-347-0455
Practice Address - Street 1:25012 HILLSIDE AVE STE B
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2139
Practice Address - Country:US
Practice Address - Phone:718-347-0411
Practice Address - Fax:718-347-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00125061261QS1200X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No291U00000XLaboratoriesClinical Medical Laboratory