Provider Demographics
NPI:1003153420
Name:WOORI FAMILY CARE INC
Entity Type:Organization
Organization Name:WOORI FAMILY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IN SOON
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-662-2357
Mailing Address - Street 1:725 GRAND AVE
Mailing Address - Street 2:SUITE #204
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-1045
Mailing Address - Country:US
Mailing Address - Phone:201-707-5647
Mailing Address - Fax:
Practice Address - Street 1:1475 BERGEN BLVD
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-2176
Practice Address - Country:US
Practice Address - Phone:917-662-2357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies