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DBA LILLYS MASTECTOMY & WIG BOUTIQUE
NPI 1083622740
Prosthetic/Orthotic Supplier in Glen Head, NY

Active since August 04, 2006
5 STATION PLAZA, GLEN HEAD, NY 11545(516) 674-8109 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dba Lillys Mastectomy & Wig Boutique NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA LILLYS MASTECTOMY & WIG BOUTIQUE (NPI 1083622740) is a healthcare organization registered as a prosthetic/orthotic supplier in Glen Head, New York and active in the NPI registry since August 2006. The organization lists Diane M Bruscella, Owner, as its authorized official.

NPPES Registry Identity

NPI1083622740
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameLILLYS FINE LINGERIE, INC.
Location Address5 STATION PLAZAGlen Head, NY 11545
Mailing Address5 Station PlazaGlen Head, NY 11545 · (516) 674-8109
Phone(516) 674-8109
Organization SubpartNo
Authorized OfficialDiane M BruscellaOwner · (516) 674-8109
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 19, 2012
✔ NPI 1083622740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
5 STATION PLAZA, Glen Head, NY 11545
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Other Names 1

Doing Business AsDba Lillys Mastectomy & Wig Boutique

Other Identifiers 2

Medicare UPINC85181NY
Medicare ID-Type Unspecified0465270001NY · Mastectomy Boutique

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillys Fine Lingerie, Inc.'s NPI number?

The NPI number for Lillys Fine Lingerie, Inc. is 1083622740. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Dba Lillys Mastectomy & Wig Boutique.

Where is Lillys Fine Lingerie, Inc. located?

Lillys Fine Lingerie, Inc. is located at 5 Station Plaza, Glen Head, NY 11545. The listed phone number is (516) 674-8109.

What is Lillys Fine Lingerie, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Lillys Fine Lingerie, Inc. was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.