=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497461164
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YORK SLEEP SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2023
-----------------------------------------------------
Last Update Date | 02/13/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 718 S MAIN ST
-----------------------------------------------------
City | RED LION
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17356-2605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-905-6555
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 718 S MAIN ST
-----------------------------------------------------
City | RED LION
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17356-2605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | MARCY OSTENBERG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 609-744-6524
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QS1200X
-----------------------------------------------------
Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------