# CITYWIDE C SLEEP CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Citywide C Sleep Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437434925
- **Authorized official:** DR. SANDEEP MEHRISHI (MD FCCP)
- **Authorized official phone:** (718) 347-0411

## Contact information

- **Practice address:** 25012 HILLSIDE AVE STE B, BELLEROSE, NY 11426-2139
- **Practice address phone:** (718) 347-0411
- **Practice address fax:** (718) 347-0455
- **Mailing address:** 250-12 B HILLSIDE AVE, BELLEROSE, NY 11426
- **Mailing address phone:** (718) 347-0411
- **Mailing address fax:** (718) 347-0455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 00125061 | NY | Yes |
| 291U00000X | Clinical Medical Laboratory | 00125061 | NY | — |

## Other

- **Enumeration date:** 10/15/2011
- **Last updated:** 10/15/2011