Provider Demographics
NPI:1013262161
Name:COMPREHENSIVE SLEEP MANAGEMENT, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE SLEEP MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT, RST
Authorized Official - Phone:201-773-8185
Mailing Address - Street 1:22-18 BROADWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3016
Mailing Address - Country:US
Mailing Address - Phone:201-773-8185
Mailing Address - Fax:201-773-8187
Practice Address - Street 1:22-18 BROADWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3016
Practice Address - Country:US
Practice Address - Phone:201-773-8185
Practice Address - Fax:201-773-8187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic