SUSAN SCHEFTICS MASTECTOMY BOUTIQUE (NPI# 1952417859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952417859 |
| Entity Type | Organization |
| Organization Name | SUSAN SCHEFTICS MASTECTOMY BOUTIQUE |
| Other Organization Name | LADY JANE MASTECTOMY BOUTIQUE |
| Practice Address |
892 E Brighton Ave Syracuse NY 13205 |
| Practice Telephone | 3154989086 |
| Practice Fax Number | 3154989087 |
| Mailing Telephone | 3154989086 |
| Mailing Fax Number | 3154989087 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | SUSAN SCHEFTIC (OWNER) |
| Authorized Official Telephone | 3154989086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01505022 | 05 |
| Other Name | Type Code |
|---|---|
| Lady Jane Mastectomy Boutique | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154504645 | Susan Scheftics Mastectomy Boutique | Durable Medical Equipment & Medical Supplies | 5700 W Genesee St, Camillus, NY 13031-3200 | 2007-12-07 |
| Street Address |
892 E BRIGHTON AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154743565 | Lori Peppers, M.d., P.C. | Psychiatry & Neurology | 892 E Brighton Ave, Suite 3, Syracuse, NY 13205-2542 | 2014-01-21 |
| 1598093114 | Lori Peppers | Psychiatry & Neurology | 892 E Brighton Ave, Suite 3, Syracuse, NY 13205-2542 | 2009-11-19 |
| 1962635649 | Patricia D Powers | Nurse Practitioner | 892 E Brighton Ave, Syracuse, NY 13205 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199212 | Gregory Ayers | Durable Medical Equipment & Medical Supplies | 105 Kramer Dr, Syracuse, NY 13207-2720 | 2020-03-13 |
| 1548759095 | West Fayette Drugs LLC | Durable Medical Equipment & Medical Supplies | 713a W Fayette St, Syracuse, NY 13204-2902 | 2018-05-09 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1750735692 | Bcl Medical, LLC | Durable Medical Equipment & Medical Supplies | 2146 W 1100 S, Syracuse, UT 84075-6991 | 2016-04-18 |
| 1407200629 | Burnet Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 3056 Burnet Ave, Suites 3 & 4, Syracuse, NY 13206-2571 | 2016-04-14 |
| 1568883221 | Ultra Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 404 N Midler Ave, Syracuse, NY 13206-1825 | 2013-12-26 |
| 1609102896 | Glottal Enterprises | Durable Medical Equipment & Medical Supplies | 1201 E Fayette St, Suite #15, Syracuse, NY 13210-1953 | 2009-10-23 |
| 1659504942 | Andrew Michael Venditti | Durable Medical Equipment & Medical Supplies | 2544 Erie Blvd E, Syracuse, NY 13224-1110 | 2009-09-02 |
| 1306075114 | People First Surgical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 2610 S Salina St, Suite 7, Syracuse, NY 13205-1512 | 2009-07-14 |
| 1811133820 | Hoveround Corporation | Durable Medical Equipment & Medical Supplies | 300 Gateway Park Dr Ste 3, Syracuse, NY 13212-3755 | 2008-12-22 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.