MEDICARE: JEWISH CHILD CARE ASSOCIATION OF NEW YORK

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

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	:	1851410369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWISH CHILD CARE ASSOCIATION OF NEW YORK

Provider Business Mailing Address
First Line	:	858 E 29TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2927
Country	:	US
Telephone Number	:	917-808-4800
Fax Number	:	347-842-2590

Provider Business Practice Location Address
First Line	:	858 E 29TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2927
Country	:	US
Telephone Number	:	917-808-4800
Fax Number	:	347-842-2590

Authorized Official
Title or Position	:	C.F.O.
Name	:	CHARLES FIGLIOZZI
Credential	:
Telephone Number	:	212-558-9922

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	04/02/2019

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