| NPI | 1700694916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHURA BUCKLEY Authorized Official 347-427-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-04-07 |