Provider Demographics
NPI:1144432220
Name:ADVANCE SLEEP TESTING INC
Entity type:Organization
Organization Name:ADVANCE SLEEP TESTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOFILAKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-982-1389
Mailing Address - Street 1:310 RICHMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7585
Mailing Address - Country:US
Mailing Address - Phone:718-982-1389
Mailing Address - Fax:718-982-5109
Practice Address - Street 1:310 RICHMOND HILL RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7585
Practice Address - Country:US
Practice Address - Phone:718-982-1389
Practice Address - Fax:718-982-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1378847OtherAETNA HMO
NY7666841OtherAETNA PPO
NY=========OtherCIGNA
NY=========OtherHOTEL TRADE CORP