Wigwam Hair Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

118242446

Legal business name

WIGWAM HAIR INC.

Practice address

6300 Jericho Tpke
Commack, NY 11725

Phone

(631) 858-1701

Fax

(631) 858-0101

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Armelo Sr.

Title

Pres.

Phone

(631) 858-1701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wig Wam Doing business as

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1487739751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 JERICHO TURNPIKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-858-1701",
            "fax_number": "631-858-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-858-1701",
            "fax_number": "631-858-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGWAM HAIR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "ARMELO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "631-858-1701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "118242446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS GROUP #",
            "identifier": "G7549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wig Wam",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Wenzel, RPH
• Dava Werblin Zakarin, LCSWR
• Margaret Mary Wetzel, MS,SLP-CCC
• Benjamin W White, M.D.
• Sarah White
• Alison Rae Wilkins
• Clarence Willaims V
• Gail Williams, OTR/L
• Jada Williams, LMHC
• Willo Wisotsky, PHD-Psychologist, PC

• Durable Medical Equipment & Medical Supplies in Commack, NY
• Providers in Commack, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.