Shop Beauty Bar LLC

NPI #1982560066 in Saint Albans, New York

Provider Information

NPI Number
1982560066
Entity Type
Organization
Organization Name
Shop Beauty Bar LLC
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Jan 1, 2026
Last Updated
Jan 1, 2026

Practice Location

Address
18802A LIBERTY AVE
ZIP Code
11412-1049
Phone
(929) 385-5989

Authorized Official

Name
MS. SHANTELL E JAY
Title
OWNER
Phone
(929) 385-5989

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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