Organization
IRENE'S WIGS STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA GILMAN (PRESIDENT)
(718) 851-4770
Entity
Organization
Contact information
Practice address
1323 46TH ST, LEVEL-C (BASEMENT), BROOKLYN, NY 11219-2165
(718) 851-4770
Mailing address
2450 HARING ST APT 3F, BROOKLYN, NY 11235-1834
(718) 851-4770
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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