Healthcare Provider Details

I. General information

NPI: 1407347289
Provider Name (Legal Business Name): SLEEP EASY CNY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2018
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W GARDEN ST STE 205
AUBURN NY
13021-2657
US

IV. Provider business mailing address

37 W GARDEN ST STE 205
AUBURN NY
13021-2657
US

V. Phone/Fax

Practice location:
  • Phone: 315-282-0121
  • Fax:
Mailing address:
  • Phone: 315-282-0121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number043531
License Number StateNY

VIII. Authorized Official

Name: DR. MICHAEL KEVIN KEATING
Title or Position: OWNER/EMPLOYEE
Credential: DDS
Phone: 315-282-0121