Provider Demographics
NPI:1033584651
Name:COUNCIL OF AID FOR CENTRAL ASIA JEWS - CACAJ
Entity Type:Organization
Organization Name:COUNCIL OF AID FOR CENTRAL ASIA JEWS - CACAJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MS SPECIAL EDUCATION
Authorized Official - Phone:718-520-1275
Mailing Address - Street 1:7502 113TH ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5552
Mailing Address - Country:US
Mailing Address - Phone:718-520-1275
Mailing Address - Fax:718-520-1275
Practice Address - Street 1:7502 113TH ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5552
Practice Address - Country:US
Practice Address - Phone:718-520-1275
Practice Address - Fax:718-520-1275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102827414251B00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management