Laspina Renewed Image Salon

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

21SU0072981 Issued in NY

Legal business name

LASPINA RENEWED IMAGE SALON

Doing business as

Sue LaSpina Coiffures, Inc

Practice address

947 S Lake Blvd
Mahopac, NY 10541-3254

Phone

(845) 628-3439

Fax

(845) 628-4838

NPI assigned

Aug 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Laspine

Title

Owner

Phone

(845) 628-3439

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sue LaSpina Coiffures, Inc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1104105055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413254",
            "telephone_number": "845-628-3439",
            "fax_number": "845-628-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413254",
            "telephone_number": "845-628-3439",
            "fax_number": "845-628-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASPINA RENEWED IMAGE SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "LASPINE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-628-3439"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "21SU0072981",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "21SU0072981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERARATING AN APPEARANCE ENHANCEMENT BUSINESS LICENSE",
            "identifier": "21SU0072981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sue LaSpina Coiffures, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Steven Landman, DMD
• Michelle Lang, MA,CCC-SLP
• Iris M Langlitz, OTR/L
• Norquis Lantigua
• Brenna Lape, ATC
• Sandra Laspina, APPEARANCE ENHANCEME
• Christopher S Lee, D.D.S.
• Glenn Legler, M.D.
• Baila R. Lemonik, MS, LMHC
• Kathleen Herbrich Leonard, MA, CCC-SLP, TSHH

• Prosthetic/Orthotic Supplier in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.