Al-Lateef Yancey
Al-Lateef Yancey is a Customized Equipment (DME) in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
508 S Orange AveNewark, NJ 07103-1338
Phone: (973) 277-6417
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence 32WD02927600 (NJ) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X · Licence 32WD02927600 (NJ) |
Record details
| NPI number | 1245953603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2022 |
| Last updated in NPPES | September 21, 2022 |
| Certification date | September 21, 2022 |
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