Organization
SEREEN HAIR AND BEAUTY BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKEYA SEREEN BURNETT DME (OWNER)
(631) 889-3394
Entity
Organization
Contact information
Practice address
478 MAIN ST, ISLIP, NY 11751-3518
(631) 820-0064
(631) 532-4333
Mailing address
478 MAIN ST, ISLIP, NY 11751-3518
(631) 820-0064
(631) 532-4333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
12/01/2021
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