Organization
SECOND HOME SLEEP LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR KATZ (PRESIDENT)
(718) 645-6434
Entity
Organization
Contact information
Practice address
1911 RICHMOND AVE STE 2102ND, STATEN ISLAND, NY 10314-3913
(718) 494-7769
(718) 494-7767
Mailing address
1911 RICHMOND AVE, SUITE210, 2ND FLOOR, STATEN ISLAND, NY 10314
(718) 494-7769
(718) 494-7767
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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