Provider Demographics
NPI:1205165644
Name:UNITED SLEEP DIAGNOSTICS OF SHIRLEY LLC
Entity type:Organization
Organization Name:UNITED SLEEP DIAGNOSTICS OF SHIRLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FALGOUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-873-6500
Mailing Address - Street 1:50 ROSE PL
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5312
Mailing Address - Country:US
Mailing Address - Phone:576-873-6500
Mailing Address - Fax:516-873-6501
Practice Address - Street 1:1500 WILLIAM FLOYD PKWY
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-1800
Practice Address - Country:US
Practice Address - Phone:866-711-1299
Practice Address - Fax:888-539-3001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED SLEEP DIAGNOSTICS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-14
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic