WIGWAM HAIR INC. (NPI# 1487739751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487739751 |
| Entity Type | Organization |
| Organization Name | WIGWAM HAIR INC. |
| Other Organization Name | WIG WAM |
| Practice Address |
6300 Jericho Tpke Commack NY 11725 |
| Mailing Address |
6300 Jericho Turnpike Commack NY 11725 |
| Practice Telephone | 6318581701 |
| Practice Fax Number | 6318580101 |
| Mailing Telephone | 6318581701 |
| Mailing Fax Number | 6318580101 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-06-29 |
| Authorized Official Name | MR. ANTHONY ARMELO SR. (PRES.) |
| Authorized Official Telephone | 6318581701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 118242446 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BLUE CROSS GROUP # | G7549 | 01 |
| Other Name | Type Code |
|---|---|
| Wig Wam | Doing Business As Name - Organization |
| Street Address |
6300 JERICHO TPKE |
| City | COMMACK |
| State | NY |
| Zip Code | 11725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062442 | New York Dialysis Services, Inc | Clinic/Center | 6300 Jericho Tpke, Commack, NY 11725-2831 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004814 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Durable Medical Equipment & Medical Supplies | 500 Commack Rd Unit 150, Commack, NY 11725-5009 | 2019-07-05 |
| 1063939924 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 126-128 Jericho Tpke, Commack, NY 11725-0000 | 2017-08-23 |
| 1811170376 | Commack Drug and Surgical and Gifts | Durable Medical Equipment & Medical Supplies | 132 Commack Rd, Commack, NY 11725-3404 | 2007-12-07 |
| 1326268590 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5001 Jericho Tpke, Commack, NY 11725-2842 | 2007-04-27 |
| 1356406516 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 85 Crooked Hill Rd, Commack, NY 11725-5407 | 2006-12-27 |
| 1578662755 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 126 128 Jericho Turnpike, Commack, NY 11725 | 2006-09-22 |
| 1598868341 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 341 Commack Rd, Commack, NY 11725-3444 | 2006-09-07 |
| 1497864920 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 8 Veterans Memorial Highway, Commack, NY 11725-3409 | 2006-08-29 |
| 1073908273 | Arthur Feigenbaum Dmd Pllc | Durable Medical Equipment & Medical Supplies | 2171 Jericho Tpke, Suite 100, Commack, NY 11725-2937 | 2015-04-03 |
| 1780835553 | Baske Medical Equipment & Supply, Inc. | Durable Medical Equipment & Medical Supplies | 6143 Jericho Tpke, Suite Ll 1, Commack, NY 11725-2852 | 2008-10-09 |
| Find all providers in COMMACK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.