Provider First Line Business Practice Location Address:
1312-38 STREET
Provider Second Line Business Practice Location Address:
YELED V'YALDA'S
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-686-3700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/29/2014