Provider Demographics
NPI:1619221942
Name:SANA-THE SLEEP LLC
Entity type:Organization
Organization Name:SANA-THE SLEEP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:THE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-766-6688
Mailing Address - Street 1:3196 KENNEDY BLVD
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2436
Mailing Address - Country:US
Mailing Address - Phone:201-766-6688
Mailing Address - Fax:201-766-6689
Practice Address - Street 1:3196 KENNEDY BLVD
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2436
Practice Address - Country:US
Practice Address - Phone:201-766-6688
Practice Address - Fax:201-766-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08785100261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center