Organization
DAWUD'S BARBER STYLING SALON
Active
Organization
DAWUD'S BARBER STYLING SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ELLERBE JR. (CERTIFIED HAIR LOSS SPECIALIST)
(518) 209-0817
Entity
Organization
Contact information
Practice address
261 QUAIL ST, ALBANY, NY 12203-1218
(518) 331-3967
Mailing address
261 QUAIL ST, ALBANY, NY 12203-1218
(518) 331-3967
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
AEC14009444
NY
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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