Organization
REJUVASCALP
Active
Other names
REJUVASCALP
Organization subpart
No
Provider details
NPI number
Authorized official
GUSLENE A BUBAK TRICHOLOGLIST (FOUNDER)
(646) 620-3525
Entity
Organization
Contact information
Practice address
1734 FLATBUSH AVE, BROOKLYN, NY 11210-4127
(646) 620-3525
Mailing address
1734 FLATBUSH AVE, BROOKLYN, NY 11210-4127
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
843423211
HAIR PROSTHESES
NY
Enumeration date
04/11/2022
Last updated
01/22/2025
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