| NPI | 1780102657 |
|---|---|
| Doing Business As | GEORGIE WIG SALON |
| Entity Type | Organization |
| Authorized Contact | SHLOMO KLEIN VP 718-436-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-07-21 |