Healthcare Provider Details

I. General information

NPI: 1306047303
Provider Name (Legal Business Name): AAA SCREENING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 03/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

372 AVENUE U STE 2
BROOKLYN NY
11223-4052
US

IV. Provider business mailing address

372 AVENUE U STE 2
BROOKLYN NY
11223-4052
US

V. Phone/Fax

Practice location:
  • Phone: 917-776-9050
  • Fax:
Mailing address:
  • Phone: 917-776-9050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID SRULEVICH
Title or Position: PRESIDENT
Credential:
Phone: 917-776-9050