Provider Demographics
NPI:1003067588
Name:G & B FASHION INC
Entity Type:Organization
Organization Name:G & B FASHION INC
Other - Org Name:GEORGIE WIG SALON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-436-0222
Mailing Address - Street 1:4424 16TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1012
Mailing Address - Country:US
Mailing Address - Phone:718-633-6082
Mailing Address - Fax:718-972-5889
Practice Address - Street 1:4424 16TH AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1012
Practice Address - Country:US
Practice Address - Phone:718-633-6082
Practice Address - Fax:718-972-5889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier