Provider Demographics
NPI:1154947190
Name:OGDEN AVE SLEEP DOCTOR LLC
Entity type:Organization
Organization Name:OGDEN AVE SLEEP DOCTOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YITZHAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BELSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-364-4464
Mailing Address - Street 1:600 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2921
Mailing Address - Country:US
Mailing Address - Phone:917-364-4464
Mailing Address - Fax:973-779-7385
Practice Address - Street 1:600 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2921
Practice Address - Country:US
Practice Address - Phone:917-364-4464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty