Provider Demographics
NPI:1093955429
Name:JBFCS
Entity Type:Organization
Organization Name:JBFCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMI DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:212-828-8500
Mailing Address - Street 1:336 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3805
Mailing Address - Country:US
Mailing Address - Phone:212-828-8500
Mailing Address - Fax:212-828-8600
Practice Address - Street 1:336 E 96TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3805
Practice Address - Country:US
Practice Address - Phone:212-828-8500
Practice Address - Fax:212-828-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management