Provider Demographics
NPI:1811223290
Name:COMPLETE SLEEP MEDICINE CARE PC
Entity Type:Organization
Organization Name:COMPLETE SLEEP MEDICINE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAZI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-969-2881
Mailing Address - Street 1:7 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2853
Mailing Address - Country:US
Mailing Address - Phone:516-605-1136
Mailing Address - Fax:631-777-3154
Practice Address - Street 1:7 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2853
Practice Address - Country:US
Practice Address - Phone:516-244-8191
Practice Address - Fax:631-777-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242650207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty