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Organization

KINGDOM SLEEP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISAAC DE LA CRUZ RPSGT (OWNER/CEO)
(518) 335-0799
Entity
Organization

Contact information

Practice address
1185 GEN LEROY MANOR RD, CADYVILLE, NY 12918-3117
(518) 335-0799
Mailing address
19 TRACK SIDE, PLATTSBURGH, NY 12901-3089
(518) 335-0799

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
01/13/2026
Last updated
01/13/2026
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