Icl Individual Support Services

LBN: Icl Individual Support Services
Icl Individual Support Services is an health care organization with primary practice located at 40 Rector St Fl 11 , New York NY 10006-1705. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Icl Individual Support Services can be contacted via phone (212) 385-3030, or through Howard, Dewey via phone (212) 385-3030.

Contact Information

Primary practice address
40 Rector St Fl 11 New York NY 10006-1705
Phone: (212) 385-3030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Howard, Dewey
Phone: (212) 385-3030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1205166113
LBN Legal business name Icl Individual Support Services
DBA Doing business as
Authorized official Howard, Dewey
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2009
Last updated Dec 29th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205166113 NPPES
New York MEDICAID 0141009

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