MEDICARE: SLEEP TESTING SERVICES, 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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1932346939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP TESTING SERVICES, INC.

Provider Business Mailing Address
First Line	:	1806 BAY RIDGE AVE
Second Line	:	SUITE 101
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5017
Country	:	US
Telephone Number	:	718-256-2948
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 BAY RIDGE AVE
Second Line	:	SUITE 101
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5017
Country	:	US
Telephone Number	:	718-256-2948
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEVI WOLOWIK
Credential	:
Telephone Number	:	718-256-2948

Provider Enumeration Date	:	01/13/2009
Last Update Date	:	01/13/2009

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