Individual provider · Type 1 NPI
Al-Lateef Yancey
Prosthetic/Orthotic Supplier · Newark, NJ
NPI number
1245953603
Active
Practice location
508 S Orange Ave
Newark, NJ 07103-1338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 32WD02927600 (NJ) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 32WD02927600 (NJ) |
Prosthetic/Orthotic Supplier: 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.
3 other providers at this address
Other prosthetic/orthotic supplier providers in Newark
About NPI 1245953603
Al-Lateef Yancey's National Provider Identifier is 1245953603, issued on Sep 21, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Newark, NJ. The record was last updated on Sep 21, 2022.