Provider Demographics
NPI:1750603411
Name:JEWISH COMMUNITY CENTER OF GREATER BUFFALO
Entity type:Organization
Organization Name:JEWISH COMMUNITY CENTER OF GREATER BUFFALO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBERSHIP DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:KOSTINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-688-4033
Mailing Address - Street 1:2640 N FOREST RD
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1514
Mailing Address - Country:US
Mailing Address - Phone:716-688-4033
Mailing Address - Fax:716-688-3572
Practice Address - Street 1:2640 N FOREST RD
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1514
Practice Address - Country:US
Practice Address - Phone:716-688-4033
Practice Address - Fax:716-688-3572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)