MEDICARE: 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
1	251V00000X	Voluntary or Charitable Agency	R040752-1	NY

General Provider Information

NPI Number	:	1306957519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES

Provider Business Mailing Address
First Line	:	3312 SURF AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1406
Country	:	US
Telephone Number	:	718-372-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3312 SURF AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1406
Country	:	US
Telephone Number	:	718-372-3300
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	MRS. ESTELLE LEWIS
Credential	:	M.S.W.
Telephone Number	:	718-372-3300

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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

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