Provider Demographics
NPI:1821203951
Name:CLINICAL SLEEP DIAGNOSTIC SERVICES
Entity Type:Organization
Organization Name:CLINICAL SLEEP DIAGNOSTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:DELROSSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-942-4240
Mailing Address - Street 1:366 N BROADWAY
Mailing Address - Street 2:SUITE 410
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2025
Mailing Address - Country:US
Mailing Address - Phone:516-942-4240
Mailing Address - Fax:516-935-2011
Practice Address - Street 1:366 N BROADWAY
Practice Address - Street 2:SUITE 410
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2025
Practice Address - Country:US
Practice Address - Phone:516-942-4240
Practice Address - Fax:516-935-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic