1053475988 NPI number — SLEEPTECH ASSOCIATES

Table of content: MS. LEAH GOLDSCHMIDT ROSSNER MSW, ACSW (NPI 1154544864)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053475988 NPI number — SLEEPTECH ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEPTECH ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053475988
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5431 NW 15TH ST STE 10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARGATE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33063-3772
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-917-5699
Provider Business Mailing Address Fax Number:
954-917-5502

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5431 NW 15TH ST STE 10
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARGATE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33063-3772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-917-5699
Provider Business Practice Location Address Fax Number:
954-917-5502
Provider Enumeration Date:
12/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VASALLO
Authorized Official First Name:
CLEMENTE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-917-5699

Provider Taxonomy Codes

  • Taxonomy code: 3336C0004X , with the licence number:  PH16060 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)