Organization
YELED V YALDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IRIS JEANNETTE JAIMAN JR. (DISABILITIES COORDINATOR)
(718) 720-0090
Entity
Organization
Contact information
Practice address
20 PARK HILL CIR, STATEN ISLAND, NY 10304-3635
(718) 720-0090
(718) 720-0280
Mailing address
20 PARK HILL CIR, STATEN ISLAND, NY 10304-3635
(718) 720-0090
(718) 720-0280
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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