Provider Demographics
NPI:1740357466
Name:JEWISH FAMILY SERVICES OF ULSTER COUNTY
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICES OF ULSTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY-COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:845-338-2980
Mailing Address - Street 1:280 WALL ST.
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3818
Mailing Address - Country:US
Mailing Address - Phone:845-338-2980
Mailing Address - Fax:845-338-2980
Practice Address - Street 1:280 WALL ST.
Practice Address - Street 2:2ND FLOOR
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3818
Practice Address - Country:US
Practice Address - Phone:845-338-2980
Practice Address - Fax:845-331-4875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0709301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
N3W231Medicare ID - Type Unspecified