Healthcare Provider Details

I. General information

NPI: 1881390318
Provider Name (Legal Business Name): OGNOMY SLEEP ASSOCIATES CA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SPEAR ST STE 1100
SAN FRANCISCO CA
94105-6164
US

IV. Provider business mailing address

640 ELLICOTT ST STE 101
BUFFALO NY
14203-1252
US

V. Phone/Fax

Practice location:
  • Phone: 877-664-6669
  • Fax:
Mailing address:
  • Phone: 877-664-6669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KEN ROSENFELD
Title or Position: COO
Credential:
Phone: 585-752-3448