Organization
AKWESASNE SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ERNEST MATTICE CRTT (LEAD SLEEP TECHNICIAN)
(518) 358-2134
Entity
Organization
Contact information
Practice address
352 STATE ROUTE 37, HOGANSBURG, NY 13655-3113
(518) 358-2134
(518) 358-2135
Mailing address
352 ROUTE 37, HOGANSBURG, NY 13655
(518) 358-2134
(518) 358-2135
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
003239
NY
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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