BEAUTIQUE EXTENSION
NPI 1396335006
Prosthetic/Orthotic Supplier in Syracuse, NY

Active since January 26, 2021
208 STAFFORD AVE, SYRACUSE, NY 13206(315) 399-3545 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beautique Extension NPPES

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

BEAUTIQUE EXTENSION (NPI 1396335006) is a healthcare organization registered as a prosthetic/orthotic supplier in Syracuse, New York and active in the NPI registry since January 2021. The organization lists Ty-esha Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1396335006
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBEAUTIQUE EXTENSION
Location Address208 STAFFORD AVESyracuse, NY 13206-3311
Mailing Address208 Stafford AveSyracuse, NY 13206-3311 · (315) 399-3545
Organization SubpartNo
Authorized OfficialTy-esha CooperOwner · (315) 399-3545
Enumeration DateJanuary 26, 2021
NPPES CertifiedJanuary 25, 2021
NPI 1396335006 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.

208 STAFFORD AVE, Syracuse, NY 13206

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 Beautique Extension's NPI number?

The NPI number for Beautique Extension is 1396335006. It was assigned to this organization in the NPPES registry on January 26, 2021.

Where is Beautique Extension located?

Beautique Extension is located at 208 Stafford Ave, Syracuse, NY 13206. The listed phone number is (315) 399-3545.

What is Beautique Extension'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 Beautique Extension was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.