Yang Shoe Corp. DBA Jacobus Shoes
NPI #1396920559 in Englewood, New Jersey
Provider Information
- NPI Number
- 1396920559
- Entity Type
- Organization
- Organization Name
- Yang Shoe Corp. DBA Jacobus Shoes
- Primary Specialty
- Orthotist
- Enumeration Date
- Jan 7, 2008
- Last Updated
- Aug 30, 2013
Practice Location
- Address
- 101 W PALISADE AVE
- City
- Englewood
- State
- New Jersey
- ZIP Code
- 07631-2635
- Phone
- (201) 567-3333
Authorized Official
- Name
- MRS. YANG SON YANG, CPED
- Title
- SECRETARY
- Phone
- (201) 567-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
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