Basic Information
| Provider Information | |||||||||
| NPI: | 1750928628 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EZ SLEEP NY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3950 NEBRASKA AVE STE C1 | ||||||||
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| City: | LEVITTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190563375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157851100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1065 OLD COUNTRY RD | ||||||||
| Address2: | |||||||||
| City: | WESTBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115905640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163333737 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2019 | ||||||||
| LastUpdateDate: | 01/06/2020 | ||||||||
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| AuthorizedOfficialLastName: | ARORA | ||||||||
| AuthorizedOfficialFirstName: | VIKAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2157851100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | Y | 193400000X SINGLE SPECIALTY GROUP | Dental Providers | Dentist | General Practice |
No ID Information.