Provider Demographics
NPI:1558740308
Name:YELED V'YALDA
Entity Type:Organization
Organization Name:YELED V'YALDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SOLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:IGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-686-3500
Mailing Address - Street 1:1312 38TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3612
Mailing Address - Country:US
Mailing Address - Phone:718-686-3700
Mailing Address - Fax:718-686-2395
Practice Address - Street 1:1312 38TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3612
Practice Address - Country:US
Practice Address - Phone:718-686-3700
Practice Address - Fax:718-686-2395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YELED V'YALDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty