Provider Demographics
NPI:1083044994
Name:JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES
Entity Type:Organization
Organization Name:JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-632-4502
Mailing Address - Street 1:2307 NEWKIRK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7590
Mailing Address - Country:US
Mailing Address - Phone:718-859-9760
Mailing Address - Fax:718-859-9767
Practice Address - Street 1:2233 NOSTRAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3045
Practice Address - Country:US
Practice Address - Phone:718-859-9760
Practice Address - Fax:718-859-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health