Organization
WOMENS BOUTIQUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE E. LIPMAN (PRESIDENT)
(516) 292-1320
Entity
Organization
Contact information
Practice address
112 BROADWAY UNIT B, MALVERNE, NY 11565-1652
(516) 292-1320
Mailing address
112 BROADWAY UNIT B, MALVERNE, NY 11565-1652
(516) 292-1320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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