Organization
CITYWIDE C SLEEP CENTER LLC
Active
Other names
Citywide C Sleep Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP MEHRISHI (MD FCCP)
(718) 347-0411
Entity
Organization
Contact information
Practice address
25012 HILLSIDE AVE STE B, BELLEROSE, NY 11426-2139
(718) 347-0411
(718) 347-0455
Mailing address
250-12 B HILLSIDE AVE, BELLEROSE, NY 11426
(718) 347-0411
(718) 347-0455
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
00125061
NY
291U00000X
Clinical Medical Laboratory
00125061
NY
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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