Organization
WIG WAM HAIR
Active
Other names
Wig Wam Westbury Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE FORGIONE (SALES)
(516) 333-6110
Entity
Organization
Contact information
Practice address
471 OLD COUNTRY RD, WESTBURY, NY 11590-5106
(516) 333-6110
Mailing address
471 OLD COUNTRY RD, WESTBURY, NY 11590-5106
(516) 333-6110
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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