institution
Icd International Center For The Disabled
Adolescent and Children Mental Health Clinic/Center in New York, New York
NPI 1013112358

Icd International Center For The Disabled is an Adolescent and Children Mental Health Clinic/Center based in New York, NY and is specialized in Adolescent and Children Mental Health. Icd International Center For The Disabled practices in New York, NY. The NPI Number for Icd International Center For The Disabled is 1013112358 and holds a License No. 6704100B (New York).

The current practice location address for Icd International Center For The Disabled is 421 E 106Th St, New York, NY and can be reached out via phone at 212-996-6127 and via fax at 212-828-8453. You can also correspond with Icd International Center For The Disabled through the mailing address at 340 E 24TH ST, NEW YORK, NY - 10010-4019 (mailing address contact number: 212-585-6000).

Location: 421 E 106Th St, New York, NY, 10010-4019
institution
Provider Profile Details
NPI Number
1013112358
Provider Name
Icd International Center For The Disabled
Credential
Provider Entity Type
Organization
Address
421 E 106Th St, New York, NY, 10010-4019
Phone Number
212-996-6127
Fax Number
212-828-8453
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00244413 05 NY
040816000080 01 NY FIDELIS CARE NEW YORK
A31902 01 NY PERFORMAX-MULTIPLAN
58P0081 01 NY NYPRESBY HEALTH PLAN
1054350 01 NY BEACON HEALTH STRATEGIES
institution
Provider Business Practice Location Address Details
Address
421 E 106Th St
City
State
Zip
10029-4846
Phone Number
212-996-6127
Fax Number
212-828-8453
person
Provider Business Mailing Address Details
Address
340 E 24Th St
City
State
Zip
10010-4019
Phone Number
212-585-6000
Fax Number
212-585-6262
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
6704100B (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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