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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