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 not a DME supplier for medicare equipment and products.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.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | 21SU0072981 | New York | Primary | |
| Customized Equipment | 21SU0072981 | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 21SU0072981 | Other | New York | Operarating 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.