Provider Demographics
NPI:1306214572
Name:NEW YORK CITY CRIMINAL JUSTICE AGENCY, INC.
Entity Type:Organization
Organization Name:NEW YORK CITY CRIMINAL JUSTICE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-213-2505
Mailing Address - Street 1:52 DUANE ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1207
Mailing Address - Country:US
Mailing Address - Phone:646-213-2500
Mailing Address - Fax:
Practice Address - Street 1:11821 QUEENS BLVD
Practice Address - Street 2:SUITE 404
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7201
Practice Address - Country:US
Practice Address - Phone:718-897-7901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management