Organization
SLEEP DISORDER LABORATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZETTE M. BADOU (OWNER)
(845) 627-1200
Entity
Organization
Contact information
Practice address
259 N MIDDLETOWN RD, NANUET, NY 10954-1220
(845) 627-1200
(845) 627-5700
Mailing address
259 N MIDDLETOWN RD, NANUET, NY 10954-1220
(845) 627-1200
(845) 627-5700
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
0028831
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
0028831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97Z811
MEDICARE PTAN
NY
Enumeration date
08/30/2006
Last updated
03/19/2013
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