Laspina Renewed Image Salon

Prosthetic/orthotic Supplier



  
  947 S Lake Blvd, Mahopac
New York, 10541-3254

 845-628-3439    845-628-4838
Laspina Renewed Image Salon is a Prosthetic/orthotic Supplier in Mahopac, New York. It is located at 947 S Lake Blvd, Mahopac and it's customer support contact number is 845-628-3439. The authorized person of Laspina Renewed Image Salon is Sandra Laspine who is Owner of this DME and his contact number is 845-628-3439. Active license number of Laspina Renewed Image Salon is 21SU0072981 for Prosthetic/orthotic Supplier in New York.
Laspina Renewed Image Salon is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


DME Supplier Details:
Laspina Renewed Image Salon type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Laspina Renewed Image Salon
Type: Prosthetic/orthotic Supplier
Location:947 S Lake Blvd, Mahopac,
New York, 10541-3254
Phone:845-628-3439
Fax:845-628-4838
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Sandra Laspine
Position: Owner
Contact Number: 845-628-3439
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1104105055
NPI Enumeration Date: 10 Aug, 2011
NPI Last Update On: 19 Aug, 2011

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laspina Renewed Image Salon are as mentioned below.
SpecializationLicense NumberStateStatus
Prosthetic/orthotic Supplier 21SU0072981New YorkPrimary
Customized Equipment 21SU0072981New YorkSecondary
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
21SU0072981OtherNew YorkOperarating An Appearance Enhancement Business License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 947 S Lake Blvd,
Mahopac, New York
Zip: 10541-3254
Phone Number: 845-628-3439
Fax Number: 845-628-4838
Patients can reach Laspina Renewed Image Salon at 947 S Lake Blvd, Mahopac, New York or can call on customer care at 845-628-3439.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.