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NPI Code Detail

MEDICARE: EMPIRE SLEEP MEDICINE, PLLC

MEDICARE: EMPIRE SLEEP MEDICINE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RS0012XSleep Medicine (Internal Medicine) Physician284359NY

General Provider Information

NPI Number : 1700306321
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPIRE SLEEP MEDICINE, PLLC
Provider Business Mailing Address
First Line : 1862 OLD FORT RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-9373
Country : US
Telephone Number : 252-902-5678
Fax Number :
Provider Business Practice Location Address
First Line : 147 W 116TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10026-2521
Country : US
Telephone Number : 212-380-7960
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. LEE A SURKIN
Credential : MD
Telephone Number : 252-902-5678
Provider Enumeration Date : 06/24/2017
Last Update Date : 06/24/2017

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Directions to “EMPIRE SLEEP MEDICINE, PLLC ” Practice Location

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