Organization
WIGS PLUS
Active
Other names
Wig Allure
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY BISSERT (MANAGER)
(631) 737-2850
Entity
Organization
Contact information
Practice address
3201 MIDDLE COUNTRY RD, STE 2, LAKE GROVE, NY 11755-2128
(631) 737-2850
(631) 737-8765
Mailing address
3201 MIDDLE COUNTRY RD, STE 2, LAKE GROVE, NY 11755-2128
(631) 737-2850
(631) 737-8765
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
01/04/2007
Last updated
09/11/2025
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