Provider Demographics
NPI:1508012907
Name:JEWISH CHILD CARE ASSOCIATION
Entity Type:Organization
Organization Name:JEWISH CHILD CARE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF IT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-224-4823
Mailing Address - Street 1:120 WALL ST
Mailing Address - Street 2:
Mailing Address - City:WALL STREET
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3904
Mailing Address - Country:US
Mailing Address - Phone:212-425-3333
Mailing Address - Fax:
Practice Address - Street 1:120 WALL ST
Practice Address - Street 2:
Practice Address - City:WALL STREET
Practice Address - State:NY
Practice Address - Zip Code:10005-3904
Practice Address - Country:US
Practice Address - Phone:212-425-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health