Provider Demographics
NPI:1548453988
Name:ISN SLEEP CENTER OF SYOSSET. LLC
Entity type:Organization
Organization Name:ISN SLEEP CENTER OF SYOSSET. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA-PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-347-5282
Mailing Address - Street 1:567 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4505
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 WOOD AVE S
Practice Address - Street 2:SUITE 511
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2736
Practice Address - Country:US
Practice Address - Phone:732-494-3030
Practice Address - Fax:732-494-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty