Provider Demographics
NPI:1548418502
Name:JEWISH FAMILY SERVICES OF NORTHEASTERN NEW YORK
Entity Type:Organization
Organization Name:JEWISH FAMILY SERVICES OF NORTHEASTERN NEW YORK
Other - Org Name:ALBANY JEWISH FAMILY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-516-1102
Mailing Address - Street 1:184 WASHINGTON AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-5306
Mailing Address - Country:US
Mailing Address - Phone:518-482-8856
Mailing Address - Fax:518-489-5839
Practice Address - Street 1:184 WASHINGTON AVENUE EXT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-5306
Practice Address - Country:US
Practice Address - Phone:518-482-8856
Practice Address - Fax:518-489-5839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56021Medicare PIN