Provider Demographics
NPI:1669619821
Name:WESTCHESTER JEWISH COMMUNITY SERVICES
Entity type:Organization
Organization Name:WESTCHESTER JEWISH COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-922-9333
Mailing Address - Street 1:845 NORTH BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603
Mailing Address - Country:US
Mailing Address - Phone:914-761-0600
Mailing Address - Fax:914-761-5859
Practice Address - Street 1:333 PELHAM ROAD
Practice Address - Street 2:MILESTONES PROGRAM
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805
Practice Address - Country:US
Practice Address - Phone:914-922-9333
Practice Address - Fax:914-922-9336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency