| NPI | 1750615126 |
|---|---|
| Doing Business As | NORTHEAST SLEEP CENTER |
| Entity Type | Organization |
| Authorized Contact | RAOUL BINIAURISHVILI Medical Director 215-673-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2010-09-08 |