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

Lillys Fine Lingerie, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1083622740

Lillys Fine Lingerie, Inc is a Prosthetic/Orthotic Supplier in Glen Head, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Station Plz
Glen Head, NY 11545
Phone: (516) 674-8109
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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 number1083622740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Bruscella — Owner · (516) 674-8109
Other names Dba Lillys Mastectomy & Wig Boutique
NPI enumeratedAugust 4, 2006
Last updated in NPPESMarch 19, 2012
Mailing address5 Station Plaza, Glen Head, NY 11545