MEDICARE: SUNSET SLEEP CENTER LLC

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
1	247200000X	Other Technician

General Provider Information

NPI Number	:	1700223252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET SLEEP CENTER LLC

Provider Business Mailing Address
First Line	:	68 HAWTHORNE ST
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11225-5763
Country	:	US
Telephone Number	:	516-487-5044
Fax Number	:	516-487-4043

Provider Business Practice Location Address
First Line	:	68 HAWTHORNE ST
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11225-5763
Country	:	US
Telephone Number	:	516-487-5044
Fax Number	:	516-487-4043

Authorized Official
Title or Position	:	OWNER
Name	:	LOUIS STLOUIS
Credential	:
Telephone Number	:	516-487-5044

Provider Enumeration Date	:	05/23/2013
Last Update Date	:	05/23/2013

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