Provider Demographics
NPI:1588418677
Name:SLEEP CONNECTICUT PLLC
Entity type:Organization
Organization Name:SLEEP CONNECTICUT PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:848-459-2584
Mailing Address - Street 1:15 AMADEO DR
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:CT
Mailing Address - Zip Code:06524-3186
Mailing Address - Country:US
Mailing Address - Phone:848-459-2584
Mailing Address - Fax:
Practice Address - Street 1:15 AMADEO DR
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:CT
Practice Address - Zip Code:06524-3186
Practice Address - Country:US
Practice Address - Phone:848-459-2584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental