Alta Vista INC.
Prosthetic/Orthotic Supplier in New York, NY. Organization (NPI-2).
NPI number1417584046
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1417584046
- Entity type
- Organization (NPI-2)
- Legal business name
- Alta Vista INC.
- Organization subpart
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- The Angelo David Salon (Doing Business As)
Practice location
420 Madison Ave Fl 2New York, NY 10017-1195
Phone 212-883-6620
Mailing address
420 Madison Ave Fl 2New York, NY 10017-1195
Phone 212-883-6620
Authorized official
Angelo David Pisacreta
Ceo
9173311770
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