Genesis II Hair Replacement Studio

NPI #1992332837 in North Syracuse, New York

Provider Information

NPI Number
1992332837
Entity Type
Organization
Organization Name
Genesis II Hair Replacement Studio
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Mar 23, 2020
Last Updated
Mar 23, 2020

Practice Location

Address
405 E TAFT RD
ZIP Code
13212-3734
Phone
(315) 458-1074

Authorized Official

Name
ALICIA ANNE ELSNER
Title
PRESIDENT
Phone
(315) 727-6192

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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