Provider Demographics
NPI:1467151449
Name:OGNOMY SLEEP ASSOCIATES DE, LLC
Entity type:Organization
Organization Name:OGNOMY SLEEP ASSOCIATES DE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLANZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-367-4616
Mailing Address - Street 1:640 ELLICOTT ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1245
Mailing Address - Country:US
Mailing Address - Phone:877-664-6669
Mailing Address - Fax:
Practice Address - Street 1:2590 WELTON ST STE. 200
Practice Address - Street 2:#1087
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4268
Practice Address - Country:US
Practice Address - Phone:877-664-6669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty