# NORTHWELL HEALTH SLEEP LAB LLC

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

## Provider details

- **NPI number:** 1720599285
- **Authorized official:** MR. GREGORY FALGOUST (MEMBER)
- **Authorized official phone:** (516) 873-6500

## Contact information

- **Practice address:** 560 NORTHERN BLVD STE 208, GREAT NECK, NY 11021-5113
- **Practice address phone:** (516) 873-6500
- **Mailing address:** 560 NORTHERN BLVD STE 208, GREAT NECK, NY 11021-5113
- **Mailing address phone:** (516) 873-6500

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2017
- **Last updated:** 01/31/2018