Provider Demographics
NPI:1245596212
Name:JOJO CONCEPTS INTERNATIONAL INC
Entity Type:Organization
Organization Name:JOJO CONCEPTS INTERNATIONAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSEGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:COSMETOLOGIST
Authorized Official - Phone:516-785-5392
Mailing Address - Street 1:1228 WANTAGH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2209
Mailing Address - Country:US
Mailing Address - Phone:516-785-5392
Mailing Address - Fax:
Practice Address - Street 1:1228 WANTAGH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2209
Practice Address - Country:US
Practice Address - Phone:516-785-5392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21JO0154064335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier