Provider Demographics
NPI:1174832729
Name:HEBREW ACADEMY FOR SPECIAL CHILLDREN, INC.
Entity Type:Organization
Organization Name:HEBREW ACADEMY FOR SPECIAL CHILLDREN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOV
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-686-5905
Mailing Address - Street 1:5902 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5066
Mailing Address - Country:US
Mailing Address - Phone:718-686-5900
Mailing Address - Fax:
Practice Address - Street 1:5902 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5066
Practice Address - Country:US
Practice Address - Phone:718-686-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16600385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY16600Medicaid