Genesis II Hair Replacement Studio

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GENESIS II HAIR REPLACEMENT STUDIO

Practice address

405 E Taft Rd
North Syracuse, NY 13212-3734

Phone

(315) 458-1074

NPI assigned

Mar 23, 2020

Organization subpart

No

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

Authorized official

Name

Alicia Anne Elsner

Title

President

Phone

(315) 727-6192

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1992332837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123734",
            "telephone_number": "315-458-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123734",
            "telephone_number": "315-458-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS II HAIR REPLACEMENT STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "ELSNER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-727-6192"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Louise Foster, R.N.
• Franciscan Health Support, Inc
• Rosemary Grace Frazee, PT
• Leo A Gaw, O.D
• Carol Lynn Gazitano, M.A., LMFT
• Sarah Ellen Gerace, MA, LP-MFT
• Corey Anthony Giannone, LMSW
• Sandra E Gibson, PA
• Felicia Glasford
• Julie Glaza, NP

• Prosthetic/Orthotic Supplier in North Syracuse, NY
• Providers in North Syracuse, 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 23, 2020; 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.