Dba Lillys Mastectomy & Wig Boutique is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Glen Head, New York. It is situated at 5 Station Plaza, Glen Head and its contact number is 516-674-8109. The authorized person of Dba Lillys Mastectomy & Wig Boutique is Mrs. Diane M Bruscella
who is Owner of the store and his/her contact number is 516-674-8109. Dba Lillys Mastectomy & Wig Boutique is 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.
Complete Center Profile:
Dba Lillys Mastectomy & Wig Boutique Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Diane M Bruscella
Position:
Owner
Contact Number:
516-674-8109
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dba Lillys Mastectomy & Wig Boutique center are as mentioned below.
NPI Number:
1083622740
NPI Enumeration Date:
04 Aug, 2006
NPI Last Update On:
19 Mar, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dba Lillys Mastectomy & Wig Boutique are as mentioned below.
Specialization
License Number
State
Status
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dba Lillys Mastectomy & Wig Boutique 5 Station Plaza, Glen Head, New York
Zip:
11545
Phone Number:
516-674-8109
Patients can reach Dba Lillys Mastectomy & Wig Boutique at 5 Station Plaza, Glen Head, New York or can call to book an appointment on 516-674-8109. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.