- Practice location
- 2372 W 12TH St, Brooklyn, NY 11223-5734
- Phone
- 718-373-6019
- Fax
- —
- Last updated
- June 17, 2015
West 12TH Street Icl is a healthcare organization based in Brooklyn, NY. West 12TH Street Icl practices in Brooklyn, NY. The NPI Number for West 12TH Street Icl is 1093832545. The current practice location address for West 12TH Street Icl is 2372 W 12TH St, Brooklyn, NY 11223-5734 and can be reached out via phone at 718-373-6019.
Provider Profile Details
- NPI Number
- 1093832545
- Provider Name
- West 12TH Street Icl
- Provider Entity Type
- Organization
- Address
- 2372 W 12TH St, Brooklyn, NY 11223-5734
- Phone Number
- 718-373-6019
- Primary Taxonomy
- Day Training, Developmentally Disabled Services · 251C00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Dewey H. Howard · Cfo · 212-385-3030
- Provider Enumeration Date
- March 22, 2007
- Last Update Date
- June 17, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2372 W 12TH St
Brooklyn, NY 11223-5734 - City
- Brooklyn
- State
- New York
- Zip
- 11223-5734
- Phone Number
- 718-373-6019
Provider Business Mailing Address Details
- Address
- 125 Broad Street
3RD Floor
New York, NY 10004-2400 - City
- New York
- State
- NY
- Zip
- 10004-2400
- Phone Number
- 212-385-3030
- Fax Number
- 917-831-4451
License Information
- Taxonomy
- Day Training, Developmentally Disabled Services · 251C00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of West 12TH Street Icl?
The NPI number of West 12TH Street Icl is 1093832545. It was assigned on March 22, 2007 and is currently active in the NPPES registry.
What is the specialty of West 12TH Street Icl?
West 12TH Street Icl is registered under the primary taxonomy Day Training, Developmentally Disabled Services (code 251C00000X).
Where does West 12TH Street Icl practice?
The practice location is 2372 W 12TH St, Brooklyn, NY 11223-5734. The office can be reached at 718-373-6019 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093832545 directly on the NPPES registry website.