Provider Demographics
NPI:1619506458
Name:JEWISH ASSOCIATION FOR SERVICES FOR THE AGED
Entity Type:Organization
Organization Name:JEWISH ASSOCIATION FOR SERVICES FOR THE AGED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINIC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:YAMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPERN KOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-365-4044
Mailing Address - Street 1:2049 BARTOW AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4613
Mailing Address - Country:US
Mailing Address - Phone:929-399-1397
Mailing Address - Fax:
Practice Address - Street 1:202 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-1204
Practice Address - Country:US
Practice Address - Phone:718-388-6865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty