Organization
SLEEP AMERICA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SONI PRAHBHAT MD (OWNER)
(718) 645-6434
Entity
Organization
Contact information
Practice address
1911 RICHMOND AVE, STE N2ND, STATEN ISLAND, NY 10314-3913
(718) 645-6434
(718) 382-5252
Mailing address
1911 RICHMOND AVE, STE N2ND, STATEN ISLAND, NY 10314-3913
(718) 645-6434
(718) 382-5252
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
192569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02236428
—
NY
Enumeration date
05/21/2008
Last updated
05/21/2008
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