institution
Icd International Center For The Disabled
Substance Use Disorder Rehabilitation Clinic/Center in New York, New York
NPI 1912100454

Icd International Center For The Disabled is a Substance Use Disorder Rehabilitation Clinic/Center based in New York, NY and is specialized in Rehabilitation, Substance Use Disorder. Icd International Center For The Disabled practices in New York, NY. The NPI Number for Icd International Center For The Disabled is 1912100454 and holds a License No. 6704100A (New York).

The current practice location address for Icd International Center For The Disabled is 340 E 24Th St, New York, NY and can be reached out via phone at 212-585-6000 and via fax at 212-585-6262. 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: 340 E 24Th St, New York, NY, 10010-4019
institution
Provider Profile Details
NPI Number
1912100454
Provider Name
Icd International Center For The Disabled
Credential
Provider Entity Type
Organization
Address
340 E 24Th St, New York, NY, 10010-4019
Phone Number
212-585-6000
Fax Number
212-585-6262
Provider Enumeration Date
06/11/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3186529 01 NY GHI-BMP
00244413 05 NY
58P0081 01 NY NYPRESBY HEALTH PLAN
1054350 01 NY BEACON HEALTH STRATEGIES
A31902 01 NY PERFORMAX-MULTIPLAN
DB5292 01 NY RAILROAD RETIREMENT BOARD
040816000080 01 NY FIDELIS CARE NEW YORK
institution
Provider Business Practice Location Address Details
Address
340 E 24Th St
City
State
Zip
10010-4019
Phone Number
212-585-6000
Fax Number
212-585-6262
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
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
090110619 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
6704100A (New York)
Definition
Definition to come...
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