MEDICARE: JEWISH CHILDCARE 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
1	251S00000X	Community/Behavioral Health Agency	075398	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184957037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWISH CHILDCARE ASSOCIATION

Provider Business Mailing Address
First Line	:	44 COURT ST FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4417
Country	:	US
Telephone Number	:	718-935-1791
Fax Number	:	718-875-6613

Provider Business Practice Location Address
First Line	:	44 COURT ST FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4417
Country	:	US
Telephone Number	:	718-935-1791
Fax Number	:	718-875-6613

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	ELIZABETH BATES
Credential	:
Telephone Number	:	646-957-0019

Provider Enumeration Date	:	09/10/2009
Last Update Date	:	09/10/2009

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Directions to “JEWISH CHILDCARE ASSOCIATION ” Practice Location

Language	Start Address	Practice Location

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