Basic Information
Provider Information
NPI: 1083850648
EntityType: 2
ReplacementNPI:  
OrganizationName: YELED V'YALDA EARLY CHILDHOOD CENTER INC.
LastName:  
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Mailing Information
Address1: 1312 38TH ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112183612
CountryCode: US
TelephoneNumber: 7186863700
FaxNumber:  
Practice Location
Address1: 1312 38TH ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112183612
CountryCode: US
TelephoneNumber: 7186863700
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/31/2008
LastUpdateDate: 06/05/2012
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: IGEL
AuthorizedOfficialFirstName: SOLOMON
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AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 7186863700
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251B00000X  N AgenciesCase Management 
252Y00000X  Y AgenciesEarly Intervention Provider Agency 

No ID Information.


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