Organization
TORI-GIAG
Active
Other names
The Wig Outlet
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL FIATA PRES. (OWNER)
(914) 400-4965
Entity
Organization
Contact information
Practice address
194 S CENTRAL AVE, HARTSDALE, NY 10530-2318
(914) 644-9447
Mailing address
194 S CENTRAL AVE, HARTSDALE, NY 10530-2318
(914) 644-9447
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
NY
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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