Provider Demographics
NPI:1780983452
Name:CITIWIDE COMPREHENSIVE SLEEP CENTER
Entity type:Organization
Organization Name:CITIWIDE COMPREHENSIVE SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OOMAWATTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYARAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-277-1614
Mailing Address - Street 1:216 WILLIS AVE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2125
Mailing Address - Country:US
Mailing Address - Phone:516-277-1614
Mailing Address - Fax:516-277-1616
Practice Address - Street 1:216 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2125
Practice Address - Country:US
Practice Address - Phone:516-277-1614
Practice Address - Fax:516-277-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory