# SALL SLEEP MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stop Snoring Sleep Better
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609431212
- **Authorized official:** DR. EDWARD T SALL MD (OWNER)
- **Authorized official phone:** (315) 436-4366

## Contact information

- **Practice address:** 4000 MEDICAL CENTER DR STE 404, FAYETTEVILLE, NY 13066-6631
- **Practice address phone:** (315) 671-8796
- **Mailing address:** 4000 MEDICAL CENTER DR STE 404, FAYETTEVILLE, NY 13066-6631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | NULL | Yes |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2019
- **Last updated:** 05/08/2019