Provider Demographics
NPI:1194404848
Name:TALMUD TORAH CHAYEI OLAM
Entity type:Organization
Organization Name:TALMUD TORAH CHAYEI OLAM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:
Authorized Official - First Name:SHLOME
Authorized Official - Middle Name:
Authorized Official - Last Name:EKSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-373-1017
Mailing Address - Street 1:3 KARLIN BLVD UNIT 104
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-5901
Mailing Address - Country:US
Mailing Address - Phone:845-467-8595
Mailing Address - Fax:845-250-8364
Practice Address - Street 1:55 CARLTON RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2430
Practice Address - Country:US
Practice Address - Phone:845-250-8363
Practice Address - Fax:845-250-8364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1316466279Medicaid