# SLEEP AMERICA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306003959
- **Authorized official:** MR. SONI PRAHBHAT MD (OWNER)
- **Authorized official phone:** (718) 645-6434

## Contact information

- **Practice address:** 1911 RICHMOND AVE, STE N2ND, STATEN ISLAND, NY 10314-3913
- **Practice address phone:** (718) 645-6434
- **Practice address fax:** (718) 382-5252
- **Mailing address:** 1911 RICHMOND AVE, STE N2ND, STATEN ISLAND, NY 10314-3913
- **Mailing address phone:** (718) 645-6434
- **Mailing address fax:** (718) 382-5252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 192569 | NY | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02236428 | — | NY |