The Re-Creation Boutique Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THE RE-CREATION BOUTIQUE INC.

Practice address

15253 10TH Ave
Suite 214
Whitestone, NY 11357-1216

Phone

(718) 746-0213

Fax

(718) 746-4696

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Vivian Catherine Sciacca

Title

President

Phone

(718) 746-0312

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1851408595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15253 10TH AVE",
            "address_2": "SUITE 214",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571216",
            "telephone_number": "718-746-0213",
            "fax_number": "718-746-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15253 10TH AVE",
            "address_2": "SUITE 214",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571216",
            "telephone_number": "718-746-0213",
            "fax_number": "718-746-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RE-CREATION BOUTIQUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "SCIACCA",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-746-0312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01481983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alida D Tchicamboud
• Candy Tejera, M.A., MS.ED.
• Julianna Tellas
• Sabella Temporal
• Jincy Thadathil, PHARMD
• Amanda Marie Theodore, MS
• Theratalk Speech Language Pathology P.C.
• Dorothya O Thompson
• Jasmine Thompson
• Caroline Tineo

• Prosthetic/Orthotic Supplier in Whitestone, NY
• Providers in Whitestone, 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 Mar 11, 2009; 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.