Provider Demographics
NPI:1528587557
Name:FLUSHING JEWISH COMMUNITY COUNCIL, INC.
Entity Type:Organization
Organization Name:FLUSHING JEWISH COMMUNITY COUNCIL, INC.
Other - Org Name:QUEENS LONG ISLAND COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DHL, LCSW
Authorized Official - Phone:516-547-4318
Mailing Address - Street 1:4343 BOWNE ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3039
Mailing Address - Country:US
Mailing Address - Phone:718-461-6393
Mailing Address - Fax:718-463-8937
Practice Address - Street 1:4343 BOWNE ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3039
Practice Address - Country:US
Practice Address - Phone:718-461-6393
Practice Address - Fax:718-463-8937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty