# YELED V YALDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043572449
- **Authorized official:** MISS IRIS JEANNETTE JAIMAN JR. (DISABILITIES COORDINATOR)
- **Authorized official phone:** (718) 720-0090

## Contact information

- **Practice address:** 20 PARK HILL CIR, STATEN ISLAND, NY 10304-3635
- **Practice address phone:** (718) 720-0090
- **Practice address fax:** (718) 720-0280
- **Mailing address:** 20 PARK HILL CIR, STATEN ISLAND, NY 10304-3635
- **Mailing address phone:** (718) 720-0090
- **Mailing address fax:** (718) 720-0280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012