Provider Demographics
NPI:1417208646
Name:IJEWISH SOCIAL DAY CARE COUNCIL, INC
Entity Type:Organization
Organization Name:IJEWISH SOCIAL DAY CARE COUNCIL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:TETIELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-218-6761
Mailing Address - Street 1:86 FRANKLIN AVE APT 5L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2787
Mailing Address - Country:US
Mailing Address - Phone:718-218-6761
Mailing Address - Fax:
Practice Address - Street 1:2 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-7802
Practice Address - Country:US
Practice Address - Phone:718-218-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health