Provider Demographics
NPI:1366580300
Name:SLEEP MEDICINE ASSOCIATES OF NYC, PLLC
Entity type:Organization
Organization Name:SLEEP MEDICINE ASSOCIATES OF NYC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURSCHTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-481-1818
Mailing Address - Street 1:11 E 26TH ST
Mailing Address - Street 2:13TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1402
Mailing Address - Country:US
Mailing Address - Phone:212-481-1818
Mailing Address - Fax:212-523-0498
Practice Address - Street 1:11 E 26TH ST
Practice Address - Street 2:13TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1402
Practice Address - Country:US
Practice Address - Phone:212-481-1818
Practice Address - Fax:212-523-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWL3591Medicare ID - Type UnspecifiedFACILITY NUMBER