MEDICARE: JAWONIO INC

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

General Provider Information

NPI Number	:	1417235946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAWONIO INC

Provider Business Mailing Address
First Line	:	260 N LITTLE TOR RD
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-2627
Country	:	US
Telephone Number	:	845-708-2000
Fax Number	:	845-639-3525

Provider Business Practice Location Address
First Line	:	775 N MAIN ST
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-8968
Country	:	US
Telephone Number	:	845-708-2000
Fax Number	:	845-639-3900

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE MANAGER
Name	:	MRS. DELORES MORALES
Credential	:
Telephone Number	:	845-708-2000

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	02/11/2026

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Directions to “JAWONIO INC ” Practice Location

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