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Al-lateef Yancey
Prosthetic/Orthotic Supplier in Newark, New Jersey
NPI 1245953603

Al-lateef Yancey is a Prosthetic/Orthotic Supplier based in Newark, NJ. Al-lateef Yancey practices in Newark, NJ. The NPI Number for Al-lateef Yancey is 1245953603 and holds a License No. 32WD02927600 (New Jersey).

The current practice location address for Al-lateef Yancey is 508 S Orange Ave, Newark, NJ and can be reached out via phone at 973-277-6417.

Location: 508 S Orange Ave, Newark, NJ, 07103-1338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245953603
Provider Name
Al-lateef Yancey
Credential
Provider Entity Type
Individual
Gender
Male
Address
508 S Orange Ave, Newark, NJ, 07103-1338
Phone Number
973-277-6417
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
508 S Orange Ave
City
Newark
State
New Jersey
Zip
07103-1338
Phone Number
973-277-6417
Fax Number
person
Provider Business Mailing Address Details
Address
508 S Orange Ave
City
Newark
State
New Jersey
Zip
07103-1338
Phone Number
973-277-6417
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
32WD02927600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
32WD02927600 (New Jersey)
Definition
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.
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