Basic Information
| Provider Information | |||||||||
| NPI: | 1669619821 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WESTCHESTER JEWISH COMMUNITY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 845 NORTH BROADWAY | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147610600 | ||||||||
| FaxNumber: | 9147615859 | ||||||||
| Practice Location | |||||||||
| Address1: | 333 PELHAM ROAD | ||||||||
| Address2: | MILESTONES PROGRAM | ||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149229333 | ||||||||
| FaxNumber: | 9149229336 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2009 | ||||||||
| LastUpdateDate: | 01/09/2009 | ||||||||
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| AuthorizedOfficialLastName: | MIRON | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PROGRAM DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9149229333 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 252Y00000X | Y | Agencies | Early Intervention Provider Agency |
No ID Information.