Icl Healthcare Choices Inc
LBN: Icl Healthcare Choices Inc
Icl Healthcare Choices Inc is an health care organization with primary practice located at 2110 Borden Ave , Long Island City NY 11101-4518. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Icl Healthcare Choices Inc can be contacted via phone (718) 784-5696, or through Siebel, Maria via phone (718) 234-0073.
Contact Information
Primary practice address
2110 Borden Ave
Long Island City NY 11101-4518
Phone: (718) 784-5696
Fax: (347) 649-0663
Website:
Authorized official contact:
Name: Siebel, Maria Licensed Clinical Social Worker (LCSW)
Phone: (718) 234-0073
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 7001299R | New York |
Profile Details
| NPI number | 1215465851 |
|---|---|
| LBN Legal business name | Icl Healthcare Choices Inc |
| DBA Doing business as | |
| Authorized official | Siebel, Maria Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2017 |
| Last updated | Jun 11th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215465851 | NPPES |
| New York | Other | 33-1151 | PART A |
| New York | Other | G100253445 | PART A |
| New York | MEDICAID | 02186390 | PART A |
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