IndividualActive
Al-Lateef Yancey
NPI 1245953603 · Prosthetic/Orthotic Supplier · Newark, NJ
Provider details
- NPI number
- 1245953603
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32WD02927600 (NJ)
Mailing address
508 S Orange Ave
Newark, NJ 07103-1338
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.