Organization
LUXTRESSES CRANIAL WIGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA PAGE (PRESIDENT)
(929) 210-4158
Entity
Organization
Contact information
Practice address
3328 73RD ST, JACKSON HEIGHTS, NY 11372-1140
(929) 210-4158
(240) 213-0889
Mailing address
3811 DITMAS BLVD, #2197, ASTORIA, NY 11105
(929) 210-4158
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/18/2022
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