Organization
A FLASH OF HAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TESHA SHERELL SEWELL (OWNER)
(718) 413-6813
Entity
Organization
Contact information
Practice address
10734 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2008
(718) 413-6813
(718) 736-1746
Mailing address
10734 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2008
(718) 413-6813
(718) 736-1746
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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