Provider Demographics
NPI:1578940052
Name:ISLEEP-USA, LLC
Entity Type:Organization
Organization Name:ISLEEP-USA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-646-3700
Mailing Address - Street 1:1925 ADAM CLAYTON POWELL JUNIOR BOULEVARD
Mailing Address - Street 2:SUITE 1-I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2225
Mailing Address - Country:US
Mailing Address - Phone:855-646-3700
Mailing Address - Fax:855-646-3737
Practice Address - Street 1:1925 ADAM CLAYTON POWELL JUNIOR BOULEVARD
Practice Address - Street 2:SUITE 1-I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2225
Practice Address - Country:US
Practice Address - Phone:855-646-3700
Practice Address - Fax:855-646-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic