Healthcare Provider Details

I. General information

NPI: 1588418677
Provider Name (Legal Business Name): SLEEP CONNECTICUT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 AMADEO DR
BETHANY CT
06524-3186
US

IV. Provider business mailing address

15 AMADEO DR
BETHANY CT
06524-3186
US

V. Phone/Fax

Practice location:
  • Phone: 848-459-2584
  • Fax:
Mailing address:
  • Phone: 848-459-2584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARY KORWIN
Title or Position: OWNER
Credential: DMD
Phone: 848-459-2584