Organization
SLEEP DISORDERS LAB OF CENTRAL NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR WASSEL MD (AUTHORIZED SIGNER)
(315) 542-4582
Entity
Organization
Contact information
Practice address
1450 CHAMPLIN AVE, SUITE 1, UTICA, NY 13502-3662
(315) 624-9004
Mailing address
1450 CHAMPLIN AVE, SUITE 1, UTICA, NY 13502-3662
(315) 624-9004
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
207857
NY
Other
Enumeration date
12/12/2013
Last updated
11/07/2023
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