# JACKSON CHILDREN'S SERVICES

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

## Provider details

- **NPI number:** 1205061926
- **Authorized official:** VIVIAN GELMAN (DIRECTOR)
- **Authorized official phone:** (718) 205-1919

## Contact information

- **Practice address:** 3136 88TH ST, EAST ELMHURST, NY 11369-1415
- **Practice address phone:** (718) 205-1919
- **Mailing address:** 3136 88TH ST, EAST ELMHURST, NY 11369-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 05/26/2009