Organization
GENESIS II HAIR REPLACEMENT STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA ANNE ELSNER (PRESIDENT)
(315) 727-6192
Entity
Organization
Contact information
Practice address
405 E TAFT RD, NORTH SYRACUSE, NY 13212-3734
(315) 458-1074
Mailing address
405 E TAFT RD, NORTH SYRACUSE, NY 13212-3734
(315) 458-1074
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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