Organization · Type 2 NPI

Yongs Wig Salon,inc

Prosthetic/Orthotic Supplier · Rockledge, FL

NPI number 1376939462 Active

Practice location

1834 US Highway 1
Rockledge, FL 32955-2822

Fax (321) 631-8022

Specialties and licenses

Taxonomy	Code	License
Contractor	171W00000X	1580119145924 (FL)
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Prosthetic/Orthotic Supplier Primary	335E00000X	1580119145924 (FL)

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.

Other prosthetic/orthotic supplier providers in Rockledge

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NPI record

NPI: 1376939462
Entity type: Organization (Type 2)
Issued: Apr 15, 2015
Last updated: Sep 27, 2019
Status: Active
Subpart: Yes of Yongs Wig Salon ,inc

Other names

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Yongs Mastectomy Products · other name
Yongs Mastectomy Products · other name

Authorized official

Yong S Corcoran
President
(321) 638-8832

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376939462

Yongs Wig Salon,inc's National Provider Identifier is 1376939462, issued on Apr 15, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Rockledge, FL. The record was last updated on Sep 27, 2019.