MEDICARE: 1ST IMPRESSION SALON LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744P3200X	Prosthetics Case Management	CT020639L	PA
2	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1134620503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST IMPRESSION SALON LLC

Provider Business Mailing Address
First Line	:	6818 MARKET ST
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-2439
Country	:	US
Telephone Number	:	267-970-3888
Fax Number	:

Provider Business Practice Location Address
First Line	:	6818 MARKET ST
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-2439
Country	:	US
Telephone Number	:	267-970-3888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZAKIYYAH SULUKI
Credential	:
Telephone Number	:	267-970-3888

Provider Enumeration Date	:	02/21/2018
Last Update Date	:	02/23/2018

Similar Medicare Providers

1760334163 — NANDINI NISHANTH
Practice Location Address:

115 COPLEY RD
UPPER DARBY, PA
19082-3102

Practice Phone: 484-846-5647
Practice Fax:

1366375362 — RUGIATU KAMARA
Practice Location Address:

119 NORMANDY RD
UPPER DARBY, PA
19082-4804

Practice Phone: 267-275-9759
Practice Fax:

1225272263 — CHESPENN HEALTH SERVICES
Practice Location Address:

5 S STATE RD
UPPER DARBY, PA
19082-2013

Practice Phone: 610-352-6585
Practice Fax:

1265366553 — SREERANJINI BINU RN
Practice Location Address:

504 SANSOM ST
UPPER DARBY, PA
19082-2216

Practice Phone: 267-576-9698
Practice Fax:

1043267495 — ACME MARKETS INC
Practice Location Address:

7901 LANSDOWNE AVE
UPPER DARBY, PA
19082-5424

Practice Phone: 610-789-5700
Practice Fax: 610-789-6393

1225960164 — LASHEENA RILEY-DUVAL
Practice Location Address:

158 ACADEMY LN
UPPER DARBY, PA
19082-1302

Practice Phone: 267-972-8939
Practice Fax:

Directions to “1ST IMPRESSION SALON LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.