Organization
LASPINA RENEWED IMAGE SALON
Active
Organization
LASPINA RENEWED IMAGE SALON
Active
Other names
Sue LaSpina Coiffures, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LASPINE (OWNER)
(845) 628-3439
Entity
Organization
Contact information
Practice address
947 S LAKE BLVD, MAHOPAC, NY 10541-3254
(845) 628-3439
(845) 628-4838
Mailing address
947 S LAKE BLVD, MAHOPAC, NY 10541-3254
(845) 628-3439
(845) 628-4838
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
21SU0072981
NY
335E00000X
Prosthetic/Orthotic Supplier
Primary
21SU0072981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21SU0072981
OPERARATING AN APPEARANCE ENHANCEMENT BUSINESS LICENSE
NY
Enumeration date
08/10/2011
Last updated
08/19/2011
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