Sall Sleep Medicine PLLC

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

Legal business name

SALL SLEEP MEDICINE PLLC

Practice address

4000 Medical Center Dr Ste 404
Fayetteville, NY 13066-6631

Phone

(315) 671-8796

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Edward T Sall, MD

Title

Owner

Phone

(315) 436-4366

Specialties & licenses 1

Addresses

Other names 1

• Stop Snoring Sleep Better Doing business as

Locations

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1609431212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR STE 404",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR STE 404",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666631",
            "telephone_number": "315-671-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALL SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "SALL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-436-4366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stop Snoring Sleep Better",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marenea R Roule, CRNA
• Rochele Royster, ATR-BC
• Renee Anne Ryan, M.D.
• John James Sacco, M.D.
• Sage Marriage and Family Therapy, PLLC
• Edward Tracy Sall, MD,DDS
• Samuel B Pearlstein
• Bernard Schneider, MD
• Jayme K Schreck, NP
• Adam C Schwartz, LMHC

• Otolaryngology Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.