Active NPIOrganization

Icl Act Team Bushwick

Case Management in Brooklyn, New York

NPI Number1215184684
Practice location
2384 Atlantic Ave, Brooklyn, NY 11233-3402
Fax
212-385-2380
Last updated
April 29, 2010

Icl Act Team Bushwick is a healthcare organization based in Brooklyn, NY. Icl Act Team Bushwick practices in Brooklyn, NY. The NPI Number for Icl Act Team Bushwick is 1215184684 and holds a License No. 7720470A (NY). The current practice location address for Icl Act Team Bushwick is 2384 Atlantic Ave, Brooklyn, NY 11233-3402 and can be reached out via phone at 212-385-3030 and via fax at 212-385-2380.

Provider Profile Details

NPI Number
1215184684
Provider Name
Icl Act Team Bushwick
Provider Entity Type
Organization
Address
2384 Atlantic Ave, Brooklyn, NY 11233-3402
Phone Number
212-385-3030
Fax Number
212-385-2380
Primary Taxonomy
Case Management · 251B00000X
Organization Subpart
Yes
Parent Organization
Institute For Community Living, INC.
Authorized Official
Mr. Dewey Howard · C F O · 212-385-3030
Provider Enumeration Date
August 27, 2008
Last Update Date
April 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2384 Atlantic Ave
Brooklyn, NY 11233-3402
Zip
11233-3402
Phone Number
212-385-3030
Fax Number
212-385-2380
Brooklyn, NY 11233Get directions →

Provider Business Mailing Address Details

Address
40 Rector St
New York, NY 10006-1705
City
New York
State
NY
Zip
10006-1705
Phone Number
212-385-3030
Fax Number
212-385-2380

License Information

Taxonomy (1)
Community/Behavioral Health · 251S00000X
License Number (2)
7720470A
License State (2)
NY
Taxonomy (2)
Case Management · 251B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Icl Act Team Bushwick?

The NPI number of Icl Act Team Bushwick is 1215184684. It was assigned on August 27, 2008 and is currently active in the NPPES registry.

What is the specialty of Icl Act Team Bushwick?

Icl Act Team Bushwick is registered under the primary taxonomy Case Management (code 251B00000X), licensed in NY under license number 7720470A.

Where does Icl Act Team Bushwick practice?

The practice location is 2384 Atlantic Ave, Brooklyn, NY 11233-3402. The office can be reached at 212-385-3030 (phone) or 212-385-2380 (fax).

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 1215184684 directly on the NPPES registry website.

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