Black Ice Pro

LBN: Black Ice Production
Black Ice Pro is an health care organization with primary practice located at 1001 East Street , Brooklyn NY 11210. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Hospitals / Special Hospital. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Black Ice Production can be contacted via phone (347) 240-8070, or through Gibson, Andre M via phone (347) 240-8070.

Contact Information

Primary practice address
1001 East Street Brooklyn NY 11210
Phone: (347) 240-8070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Andre M
Phone: (347) 240-8070

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 071465614 New York
Hospitals / Special Hospital 284300000X

Profile Details

NPI number 1821238486
LBN Legal business name Black Ice Production
DBA Doing business as Black Ice Pro
Authorized official Gibson, Andre M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2009
Last updated Feb 23rd, 2009 - about 17 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.

Request for update

Popular Providers