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NPI Code Detail

MEDICARE: BEAUTY REST, INC.

MEDICARE: BEAUTY REST, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1275621906
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUTY REST, INC.
Provider Business Mailing Address
First Line : 8027 135TH ST
Second Line :
City : JAMAICA
State : NY
Zip : 11435-1029
Country : US
Telephone Number : 917-678-6461
Fax Number :
Provider Business Practice Location Address
First Line : 8027 135TH ST
Second Line :
City : JAMAICA
State : NY
Zip : 11435-1029
Country : US
Telephone Number : 917-678-6461
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DINA BADALOV
Credential :
Telephone Number : 917-678-6461
Provider Enumeration Date : 10/10/2006
Last Update Date : 01/25/2010

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Directions to “BEAUTY REST, INC. ” Practice Location

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