Organization
NEW GENERATION
Active
Organization
NEW GENERATION
Active
Other names
Dream Wigs Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FREDERICK (OWNER)
(845) 896-2327
Entity
Organization
Contact information
Practice address
1545 ROUTE 52, FISHKILL, NY 12524-1627
(845) 896-2327
Mailing address
1545 ROUTE 52, FISHKILL, NY 12524-1627
(845) 896-2327
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
21NE1023382
NY
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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