Organization
GRASMERE SLEEP LAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOUAD HANNA (OWNER)
(718) 442-2221
Entity
Organization
Contact information
Practice address
2071 CLOVE RD, STATEN ISLAND, NY 10304-1671
(718) 442-2221
(718) 966-1199
Mailing address
PO BOX 120278, STATEN ISLAND, NY 10312-0278
(718) 442-2221
(718) 966-1199
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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