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NPI Code Detail

MEDICARE: UNITED SLEEP DIAGNOSTICS, INC.

MEDICARE: UNITED SLEEP DIAGNOSTICS, 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 : 1811129679
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED SLEEP DIAGNOSTICS, INC.
Provider Business Mailing Address
First Line : 50 ROSE PL
Second Line :
City : GARDEN CITY PARK
State : NY
Zip : 11040-5312
Country : US
Telephone Number : 516-873-6500
Fax Number : 516-873-6501
Provider Business Practice Location Address
First Line : 3635 BELL BLVD
Second Line : STE 202
City : BAYSIDE
State : NY
Zip : 11361-2097
Country : US
Telephone Number : 516-873-6500
Fax Number : 516-873-6501
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. GREG FALGOUST
Credential :
Telephone Number : 516-873-6500
Provider Enumeration Date : 08/12/2009
Last Update Date : 08/12/2009

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