Provider Demographics
NPI:1316314222
Name:NEW YORK CITY CRIMINAL JUSTICE AGENCY, INC.
Entity type:Organization
Organization Name:NEW YORK CITY CRIMINAL JUSTICE AGENCY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-213-2505
Mailing Address - Street 1:52 DUANE ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1207
Mailing Address - Country:US
Mailing Address - Phone:646-213-2500
Mailing Address - Fax:
Practice Address - Street 1:2 LAFAYETTE ST
Practice Address - Street 2:ROOM 1003
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1307
Practice Address - Country:US
Practice Address - Phone:212-693-9080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management