Provider Demographics
NPI:1790172799
Name:SLEEP CARE DIAGNOSTICS
Entity Type:Organization
Organization Name:SLEEP CARE DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:K
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-417-1138
Mailing Address - Street 1:PO BOX 671024
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11367-7024
Mailing Address - Country:US
Mailing Address - Phone:917-525-3139
Mailing Address - Fax:800-761-3551
Practice Address - Street 1:15817 78TH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1913
Practice Address - Country:US
Practice Address - Phone:917-525-3139
Practice Address - Fax:800-761-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic