Organization
WIGWAM HAIR INC.
Active
Other names
Wig Wam
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ARMELO SR. (PRES.)
(631) 858-1701
Entity
Organization
Contact information
Practice address
6300 JERICHO TPKE, COMMACK, NY 11725
(631) 858-1701
(631) 858-0101
Mailing address
6300 JERICHO TURNPIKE, COMMACK, NY 11725
(631) 858-1701
(631) 858-0101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
118242446
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G7549
EMPIRE BLUE CROSS GROUP #
NY
Enumeration date
10/26/2006
Last updated
06/29/2018
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