Provider Demographics
NPI:1538345814
Name:SLEEP INSIGHTS MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:SLEEP INSIGHTS MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEFANIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUATTROCIOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-419-7948
Mailing Address - Street 1:10 HAGEN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2660
Mailing Address - Country:US
Mailing Address - Phone:585-385-6070
Mailing Address - Fax:585-385-6071
Practice Address - Street 1:10 HAGEN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2660
Practice Address - Country:US
Practice Address - Phone:585-385-6070
Practice Address - Fax:585-385-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214144207RS0012X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02096642Medicaid
NY02096642Medicaid