Jewish Child Care Association Of New York | |
858 East 29th Street Brooklyn NY 11210-2927 | |
(917) 808-4800 | |
(347) 842-2590 |
Full Name | Jewish Child Care Association Of New York |
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Speciality | Clinic/Center |
Location | 858 East 29th Street, Brooklyn, New York |
Authorized Official Name and Position | Steven Wolinsky (C.F.O.) |
Authorized Official Contact | 9178084820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jewish Child Care Association Of New York 858 East 29th Street Brooklyn NY 11210-2927 Ph: (917) 808-4800 | Jewish Child Care Association Of New York 858 East 29th Street Brooklyn NY 11210-2927 Ph: (917) 808-4800 |
NPI Number | 1467571653 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 08/11/2015 |
Medicare PECOS PAC ID | 1052693777 |
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Medicare Enrollment ID | O20170112002375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467571653 | NPI | - | NPPES |
00272688 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (New York) | Primary |
Provider Name | Edmund V Cyvas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417092610 PECOS PAC ID: 2567747645 Enrollment ID: I20170403001310 |
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