Provider Demographics
NPI:1386831600
Name:HAIR GOES INC
Entity Type:Organization
Organization Name:HAIR GOES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:CPE BOARD CERTIFIED
Authorized Official - Phone:518-782-1919
Mailing Address - Street 1:711 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2485
Mailing Address - Country:US
Mailing Address - Phone:518-782-1919
Mailing Address - Fax:518-384-1959
Practice Address - Street 1:711 TROY SCHENECTADY RD
Practice Address - Street 2:SUITE 212
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2485
Practice Address - Country:US
Practice Address - Phone:518-782-1919
Practice Address - Fax:518-384-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty