Provider Demographics
NPI:1083785893
Name:FLAIR ENTERPRISES INC
Entity Type:Organization
Organization Name:FLAIR ENTERPRISES INC
Other - Org Name:TIFFANY WIGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEISSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-245-5800
Mailing Address - Street 1:100 TRIANGLE CENTER
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4134
Mailing Address - Country:US
Mailing Address - Phone:914-285-5800
Mailing Address - Fax:914-245-5800
Practice Address - Street 1:100 TRIANGLE CENTER
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4134
Practice Address - Country:US
Practice Address - Phone:914-285-5800
Practice Address - Fax:914-245-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00583584Medicaid
NY00583584Medicaid