Sereen Hair and Beauty Boutique LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SEREEN HAIR AND BEAUTY BOUTIQUE LLC

Practice address

478 Main St
Islip, NY 11751-3518

Phone

(631) 820-0064

Fax

(631) 532-4333

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Nikeya Sereen Burnett, DMENPI 1063077790

Title

Owner

Phone

(631) 889-3394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikeya Sereen Burnett

  • Specialist
  • Brentwood, NY
  • NPI 1063077790
  NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1902461650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513518",
            "telephone_number": "631-820-0064",
            "fax_number": "631-532-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513518",
            "telephone_number": "631-820-0064",
            "fax_number": "631-532-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEREEN HAIR AND BEAUTY BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "NIKEYA",
        "authorized_official_middle_name": "SEREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-889-3394",
        "authorized_official_credential": "DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Harris Segal, P.T.
• Christine Alexandrea Senft, LPN
• Bernhard John Sengstock II, DC
• Danielle Marie Sengstock, LAC
• Seniorcare Companions, Inc
• Joseph Sharkey, PA
• John A. Sharpe, MS OTR/L
• Karen R Sheerin, LCSW
• Danielle Siegfried, LCSW
• Evan John Sigouros

• Durable Medical Equipment & Medical Supplies in Islip, NY
• Providers in Islip, 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 Dec 1, 2021; 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.