Provider Demographics
NPI:1982907150
Name:RECHUL ESTATE LLC
Entity Type:Organization
Organization Name:RECHUL ESTATE LLC
Other - Org Name:DELTA WAVES SLEEP DISORDERS AND RESEARCH CENTER NY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAWID
Authorized Official - Middle Name:
Authorized Official - Last Name:RECHUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-799-6886
Mailing Address - Street 1:5 COTTAGE CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-1104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:752 PARK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3900
Practice Address - Country:US
Practice Address - Phone:631-944-8328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic