Organization
SID JACOBSON JEWISH COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLACK (EXECUTIVE DIRECTOR)
(516) 484-1545
Entity
Organization
Contact information
Practice address
300 FOREST DR, GREENVALE, NY 11548-1231
(516) 484-1545
(516) 484-7354
Mailing address
300 FOREST DR, GREENVALE, NY 11548-1231
(516) 484-1545
(516) 484-7354
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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