| Organization Name: | SLEEP DISORDERS INSTITUTE NORTHEAST, LLC |
| NPI Number: | 1174556617 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANJAY LAMBA (LOCAL DIRECTOR) |
| Mailing Address: | 4080 Lafayette Center Dr Ste 230b Chantilly |
| State: | VA US |
| Postal Code: | 201511247 |
| Phone Number: | 7032300606 |
| Fax Number: | 5713211089 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 09/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |