Organization
EZ SLEEP NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA RUSANOV (CLINICAL MANAGER)
(215) 785-1100
Entity
Organization
Contact information
Practice address
1009 BRIGHTON BEACH AVE STE 2, BROOKLYN, NY 11235-5621
(718) 975-8500
Mailing address
3905 NEBRASKA AVE UNIT C1, LEVITTOWN, PA 19056-3333
(215) 785-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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