NPI 1396920559

Yang Shoe Corp. Dba Jacobus Shoes

Organisation Orthotist Englewood, NJ

Practice location

Address: 101 W Palisade Ave, Englewood, NJ 07631-2635
Phone: (201) 567-3333
Fax: (201) 567-3084

Authorised official

Name: Yang Son Yang
Title: Secretary
Phone: (201) 567-3333

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 21096 (NJ)

Other Orthotist providers in New Jersey →

Registry record

NPI: 1396920559
Entity type: Organization
NPI issued: 7 Jan 2008
Record last updated: 30 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.