Lady Jane Mastectomy Boutique

LBN: Susan Scheftics Mastectomy Boutique
Lady Jane Mastectomy Boutique is an health care organization with primary practice located at 5700 W Genesee St , Camillus NY 13031-3200. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Susan Scheftics Mastectomy Boutique can be contacted via phone (315) 468-9743, or through Scheftic, Susan via phone (315) 498-9086.

Contact Information

Primary practice address
5700 W Genesee St Camillus NY 13031-3200
Phone: (315) 468-9743
Fax: (315) 468-9744
Website:
Map and Directions
Authorized official contact:
Name: Scheftic, Susan
Phone: (315) 498-9086

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1154504645
LBN Legal business name Susan Scheftics Mastectomy Boutique
DBA Doing business as Lady Jane Mastectomy Boutique
Authorized official Scheftic, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 27th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154504645 NPPES
New York MEDICAID 01505022

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