West 12Th Street Icl

LBN: West 12Th Street Icl
West 12Th Street Icl is an health care organization with primary practice located at 2372 W 12Th St , Brooklyn NY 11223-5734. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. West 12Th Street Icl can be contacted via phone (718) 373-6019, or through Howard, Dewey H. via phone (212) 385-3030.

Contact Information

Primary practice address
2372 W 12Th St Brooklyn NY 11223-5734
Phone: (718) 373-6019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Howard, Dewey H.
Phone: (212) 385-3030

Health care specialties

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

Profile Details

NPI number 1093832545
LBN Legal business name West 12Th Street Icl
DBA Doing business as
Authorized official Howard, Dewey H.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Jun 17th, 2015 - about 10 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 1093832545 NPPES
New York MEDICAID 01427036

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