Provider Demographics
NPI:1447821723
Name:NANO POLYSOMNOGRAPHIC TECHNOLOGY PLLC
Entity type:Organization
Organization Name:NANO POLYSOMNOGRAPHIC TECHNOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGIROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-496-1524
Mailing Address - Street 1:2026 OCEAN AVE STE M2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7396
Mailing Address - Country:US
Mailing Address - Phone:212-464-7177
Mailing Address - Fax:929-506-7774
Practice Address - Street 1:2026 OCEAN AVE STE M2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7396
Practice Address - Country:US
Practice Address - Phone:212-464-7177
Practice Address - Fax:929-506-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty