Wigwam Hair INC.
Durable Medical Equipment & Medical Supplies in Commack, NY. Organization (NPI-2).
NPI number1487739751
StatusActive
Last updated in NPPESJun 29, 2018
Details
- NPI
- 1487739751
- Entity type
- Organization (NPI-2)
- Legal business name
- Wigwam Hair INC.
- Organization subpart
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- Jun 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 118242446 | – | Yes |
Other names
- Wig Wam (Doing Business As)
Practice location
6300 Jericho TpkeCommack, NY 11725
Phone 631-858-1701 · Fax 631-858-0101
Mailing address
6300 Jericho TurnpikeCommack, NY 11725
Phone 631-858-1701 · Fax 631-858-0101
Authorized official
Anthony Armelo
Pres.
6318581701
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