Organization
JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WOLINSKY (C.F.O.)
(917) 808-4820
Entity
Organization
Contact information
Practice address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2344
(917) 808-4800
(347) 842-2590
Mailing address
858 EAST 29TH STREET, JEWISH CHILD CARE ASSOCIATION OF NEW YORK, BROOKLYN, NY 11210-2927
(917) 808-4800
(347) 842-2590
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00328056
—
NY
Enumeration date
03/28/2007
Last updated
08/14/2015
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