Provider Demographics
NPI:1528426707
Name:ISLAND SLEEP SOLUTIONS
Entity type:Organization
Organization Name:ISLAND SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MORMINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-876-9100
Mailing Address - Street 1:104 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4541
Mailing Address - Country:US
Mailing Address - Phone:718-876-9100
Mailing Address - Fax:718-876-8888
Practice Address - Street 1:104 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4541
Practice Address - Country:US
Practice Address - Phone:718-876-9100
Practice Address - Fax:718-876-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042434332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment