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NPI Code Detail

MEDICARE: THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES

MEDICARE: THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES
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 Agency074049-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W22701OTHERNYMAGELLIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235216722
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES
Provider Business Mailing Address
First Line : 5601 14TH AVE APT 5E
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4606
Country : US
Telephone Number : 718-871-9262
Fax Number :
Provider Business Practice Location Address
First Line : 2795 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-5857
Country : US
Telephone Number : 718-761-9800
Fax Number : 718-370-1142
Authorized Official
Title or Position : ASSOC. EXECUTIVE DIRECTOR OF ADMIN.
Name : MR. ALAN SCHOOR
Credential :
Telephone Number : 212-582-9100
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1740365923 — MR. TODD RANDALL SCHENK M.ED.
Practice Location Address:
2795 RICHMOND AVE
STATEN ISLAND, NY
10314-5857
Practice Phone: 718-761-9800
Practice Fax: 718-370-1142
1447335583 — MRS. KOKONA NISSA PERRY LCSW
Practice Location Address:
2795 RICHMOND AVE
STATEN ISLAND, NY
10314-5857
Practice Phone: 718-761-9800
Practice Fax: 718-370-1142
1578648309 — MS. TRACY ELIZABETH PHILLIPS LCSW, ATR
Practice Location Address:
2795 RICHMOND AVE
STATEN ISLAND, NY
10314-5857
Practice Phone: 718-761-9800
Practice Fax:
1992882294 — LORIANN ZAVAGLIA LCSW
Practice Location Address:
2795 RICHMOND AVE , 2ND FLOOR
STATEN ISLAND, NY
10314-5857
Practice Phone: 718-761-9800
Practice Fax: 718-370-1142
1679650329 — MRS. LEAH LISA MANDELBAUM LCSW
Practice Location Address:
2795 RICHMOND AVE
STATEN ISLAND, NY
10314-5857
Practice Phone: 718-761-9800
Practice Fax: 718-370-1142
1114004447 — MR. NELSON REDDY LCSW
Practice Location Address:
2795 RICHMOND AVE
STATEN ISLAND, NY
10314-5857
Practice Phone: 718-761-9800
Practice Fax: 718-370-1142

Directions to “THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES ” Practice Location

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