# JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083733596
- **Authorized official:** STEVEN WOLINSKY (C.F.O.)
- **Authorized official phone:** (917) 808-4820

## Contact information

- **Practice address:** 1075 BROADWAY, PLEASANTVILLE, NY 10570-2344
- **Practice address phone:** (917) 808-4800
- **Practice address fax:** (347) 842-2590
- **Mailing address:** 858 EAST 29TH STREET, JEWISH CHILD CARE ASSOCIATION OF NEW YORK, BROOKLYN, NY 11210-2927
- **Mailing address phone:** (917) 808-4800
- **Mailing address fax:** (347) 842-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NY | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00328056 | — | NY |