Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beautique Extension

Organization Prosthetic/Orthotic Supplier · NPI 1396335006

Beautique Extension is a Prosthetic/Orthotic Supplier in Syracuse, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

208 Stafford Ave
Syracuse, NY 13206-3311
Phone: (315) 399-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1396335006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty-Esha Cooper — Owner · (315) 399-3545
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 25, 2021
Mailing address208 Stafford Ave, Syracuse, NY 13206-3311

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