# CLINICAL SLEEP DIAGNOSTIC SERVICES

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

## Provider details

- **NPI number:** 1821203951
- **Authorized official:** MR. PETER DELROSSO (PRESEDENT)
- **Authorized official phone:** (516) 942-4240

## Contact information

- **Practice address:** 366 N BROADWAY, SUITE 410, JERICHO, NY 11753-2025
- **Practice address phone:** (516) 942-4240
- **Practice address fax:** (516) 935-2011
- **Mailing address:** 366 N BROADWAY, SUITE 410, JERICHO, NY 11753-2025
- **Mailing address phone:** (516) 942-4240
- **Mailing address fax:** (516) 935-2011

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020