Provider Demographics
NPI:1710423942
Name:JDK SERVICES INC
Entity Type:Organization
Organization Name:JDK SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:516-650-8692
Mailing Address - Street 1:90 HAMPTON WAY
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-5024
Mailing Address - Country:US
Mailing Address - Phone:516-650-8692
Mailing Address - Fax:
Practice Address - Street 1:90 HAMPTON WAY
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-5024
Practice Address - Country:US
Practice Address - Phone:516-650-8692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078522804252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency