Grasmere Sleep Lab Corp

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

GRASMERE SLEEP LAB CORP

Practice address

2071 Clove Rd
Staten Island, NY 10304-1671

Phone

(718) 442-2221

Fax

(718) 966-1199

NPI assigned

Dec 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fouad Hanna

Title

Owner

Phone

(718) 442-2221

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1093019333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120278",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103120278",
            "telephone_number": "718-442-2221",
            "fax_number": "718-966-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041671",
            "telephone_number": "718-442-2221",
            "fax_number": "718-966-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASMERE SLEEP LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-442-2221"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Grant
• Shyelle Gabrielle Grant, RN
• Tyler Grantham, MD
• Grasmere Physical Therapy and Rehabilitation, PLLC
• Grasmere Physical Therapy Wellness, PLLC
• Elysha Rand Grauman, PA
• Brianna N Gravagna
• Nichole Francine Graves-McLeod, LMSW
• Badri Anthony Gravesande, PA
• Juanita Gray

• Sleep Medicine (Internal Medicine) Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Sleep Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.