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Wig Wam Hair
Prosthetic/Orthotic Supplier in Westbury, New York
NPI 1629509021

Wig Wam Hair is a Prosthetic/Orthotic Supplier based in Westbury, NY. Wig Wam Hair practices in Westbury, NY. The NPI Number for Wig Wam Hair is 1629509021 and holds a License No. (New York).

The current practice location address for Wig Wam Hair is 471 Old Country Rd, Westbury, NY and can be reached out via phone at 516-333-6110.

Location: 471 Old Country Rd, Westbury, NY, 11590-5106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629509021
Provider Name
Wig Wam Hair
Credential
Provider Entity Type
Organization
Address
471 Old Country Rd, Westbury, NY, 11590-5106
Phone Number
516-333-6110
Fax Number
Provider Enumeration Date
03/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
471 Old Country Rd
City
Westbury
State
New York
Zip
11590-5106
Phone Number
516-333-6110
Fax Number
person
Provider Business Mailing Address Details
Address
471 Old Country Rd
City
Westbury
State
New York
Zip
11590-5106
Phone Number
516-333-6110
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(New York)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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