| Jewish Family Services Of Northeastern New York | |
|
184 Washington Avenue Ext. Albany NY 12203 | |
| (518) 482-8856 | |
| (518) 489-5839 |
| Full Name | Jewish Family Services Of Northeastern New York |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 184 Washington Avenue Ext., Albany, New York |
| Authorized Official Name and Position | Jane Ginsburg (CEO) |
| Authorized Official Contact | 5185161101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Services Of Northeastern New York 184 Washington Avenue Ext. Albany NY 12203 Ph: (518) 482-8856 | Jewish Family Services Of Northeastern New York 184 Washington Avenue Ext. Albany NY 12203 Ph: (518) 482-8856 |
| NPI Number | 1548418502 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/27/2022 |
| Medicare PECOS PAC ID | 0446285274 |
|---|---|
| Medicare Enrollment ID | O20050930000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548418502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598169385 PECOS PAC ID: 8325451180 Enrollment ID: I20210115001564 |
| Provider Name | Tara Hempel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841803848 PECOS PAC ID: 7517348857 Enrollment ID: I20220719000647 |
| Provider Name | Dara Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245874288 PECOS PAC ID: 9436526365 Enrollment ID: I20221107002284 |
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