Provider Demographics
NPI:1558804823
Name:SLEEP APNEA DENTISTS OF NEW ENGLAND PLLC
Entity type:Organization
Organization Name:SLEEP APNEA DENTISTS OF NEW ENGLAND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-469-8138
Mailing Address - Street 1:246 DAHLGREN RD
Mailing Address - Street 2:
Mailing Address - City:VALATIE
Mailing Address - State:NY
Mailing Address - Zip Code:12184-4703
Mailing Address - Country:US
Mailing Address - Phone:518-469-8138
Mailing Address - Fax:
Practice Address - Street 1:140 MERRIAM ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1319
Practice Address - Country:US
Practice Address - Phone:617-964-4028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment