Provider Demographics
NPI:1588933899
Name:JEWISH BOARD FAMILY & CHILDREN SERVICES
Entity type:Organization
Organization Name:JEWISH BOARD FAMILY & CHILDREN SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CASE ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-327-7660
Mailing Address - Street 1:2063 MADISON AVE
Mailing Address - Street 2:APT 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-3703
Mailing Address - Country:US
Mailing Address - Phone:191-759-2159
Mailing Address - Fax:
Practice Address - Street 1:135 WEST 50TH STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10020
Practice Address - Country:US
Practice Address - Phone:171-832-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITION CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization