Provider Demographics
NPI:1356351381
Name:SLEEP DIAGNOSTICS GROUP LLC
Entity type:Organization
Organization Name:SLEEP DIAGNOSTICS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-675-0830
Mailing Address - Street 1:2500 NESCONSET HWY
Mailing Address - Street 2:BUILDING 8 C
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2555
Mailing Address - Country:US
Mailing Address - Phone:631-675-0830
Mailing Address - Fax:631-675-0829
Practice Address - Street 1:2500 NESCONSET HWY
Practice Address - Street 2:BUILDING 8 C
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2555
Practice Address - Country:US
Practice Address - Phone:631-675-0830
Practice Address - Fax:631-675-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty