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NPI Code Detail

MEDICARE: JEWISH CHILD CARE ASSOCIATION

MEDICARE: JEWISH CHILD CARE ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyNY

General Provider Information

NPI Number : 1508012907
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH CHILD CARE ASSOCIATION
Provider Business Mailing Address
First Line : 120 WALL ST
Second Line :
City : WALL STREET
State : NY
Zip : 10005-3904
Country : US
Telephone Number : 212-425-3333
Fax Number :
Provider Business Practice Location Address
First Line : 120 WALL ST
Second Line :
City : WALL STREET
State : NY
Zip : 10005-3904
Country : US
Telephone Number : 212-425-3333
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF IT
Name : MR. JOSEPH MCCARTHY
Credential :
Telephone Number : 914-224-4823
Provider Enumeration Date : 08/18/2008
Last Update Date : 08/18/2008

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Directions to “JEWISH CHILD CARE ASSOCIATION ” Practice Location

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