# NEW YORK FASHION BEAUTY SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487425880
- **Authorized official:** SHARDAE VANHOOK (OWNER)
- **Authorized official phone:** (980) 335-7702

## Contact information

- **Practice address:** 5309 E INDEPENDENCE BLVD STE E, CHARLOTTE, NC 28212-0542
- **Practice address phone:** (980) 335-7702
- **Mailing address:** 5309 E INDEPENDENCE BLVD STE E, CHARLOTTE, NC 28212-0542
- **Mailing address phone:** (980) 335-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224P00000X | Prosthetist | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 01/15/2024