Organization
JEWISH FAMILY SERVICE OF ROCHESTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN LANG (CFO)
(585) 461-0110
Entity
Organization
Contact information
Practice address
255 EAST AVE STE 201, ROCHESTER, NY 14604-2626
(585) 461-0110
Mailing address
255 EAST AVE STE 201, ROCHESTER, NY 14604-2626
(585) 461-0110
(585) 461-9658
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
TB100185
NY
103TA0700X
Adult Development & Aging Psychologist
Primary
TB100185
NY
1041C0700X
Clinical Social Worker
TB100185
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01799384
—
NY
05
—
02001765
—
NY
Enumeration date
04/24/2007
Last updated
01/04/2022
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