Individual
MRS. YANG SON YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
101 W PALISADE AVE, ENGLEWOOD, NJ 07631
(201) 567-3333
(201) 567-3084
Mailing address
101 W PALISADE AVE, ENGLEWOOD, NJ 07631
(201) 567-3333
(201) 567-3084
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
21096
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136000
—
NJ
Enumeration date
03/02/2007
Last updated
12/07/2007
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