The Re-Creation Boutique Inc.
NPI #1851408595 in Whitestone, New York
Provider Information
- NPI Number
- 1851408595
- Entity Type
- Organization
- Organization Name
- The Re-Creation Boutique Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Mar 11, 2009
Practice Location
- Address
- 15253 10TH AVE
- Address 2
- SUITE 214
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-1216
- Phone
- (718) 746-0213
Authorized Official
- Name
- MS. VIVIAN CATHERINE SCIACCA
- Title
- PRESIDENT
- Phone
- (718) 746-0312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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