Provider Demographics
NPI:1689871410
Name:INTEGRATED SLEEP DISORDERS MANAGEMENT
Entity Type:Organization
Organization Name:INTEGRATED SLEEP DISORDERS MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GURNARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-633-4570
Mailing Address - Street 1:8675 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7501
Mailing Address - Country:US
Mailing Address - Phone:716-633-4570
Mailing Address - Fax:716-632-7220
Practice Address - Street 1:8675 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7501
Practice Address - Country:US
Practice Address - Phone:716-633-4570
Practice Address - Fax:716-632-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory