Provider Demographics
NPI:1497535231
Name:JEWISH COMMUNITY CENTER ON THE HUDSON, INC.
Entity Type:Organization
Organization Name:JEWISH COMMUNITY CENTER ON THE HUDSON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-366-7898
Mailing Address - Street 1:371 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-6002
Mailing Address - Country:US
Mailing Address - Phone:914-366-7898
Mailing Address - Fax:914-366-7434
Practice Address - Street 1:371 S BROADWAY
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-6002
Practice Address - Country:US
Practice Address - Phone:914-366-7898
Practice Address - Fax:914-366-7434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health