Provider First Line Business Practice Location Address: 
YELED V'YALDA'S
    Provider Second Line Business Practice Location Address: 
1312 38TH STREET
    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: 
08/21/2018