Provider Demographics
NPI:1457383085
Name:MEDISLEEP, INC.
Entity Type:Organization
Organization Name:MEDISLEEP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHASIDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-520-2300
Mailing Address - Street 1:11115 QUEENS BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7422
Mailing Address - Country:US
Mailing Address - Phone:718-520-2300
Mailing Address - Fax:718-520-4440
Practice Address - Street 1:11115 QUEENS BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7422
Practice Address - Country:US
Practice Address - Phone:718-520-2300
Practice Address - Fax:718-520-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic