Icl East 225Th Street

LBN: Icl East 225Th Street
Icl East 225Th Street is an health care organization with primary practice located at 857 E 225Th St , Bronx NY 10466-4405. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Icl East 225Th Street can be contacted via phone (718) 231-0576, or through Bacchus, Lynette via phone (212) 385-3030.

Contact Information

Primary practice address
857 E 225Th St Bronx NY 10466-4405
Phone: (718) 231-0576
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bacchus, Lynette
Phone: (212) 385-3030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1912237892
LBN Legal business name Icl East 225Th Street
DBA Doing business as
Authorized official Bacchus, Lynette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2009
Last updated Mar 4th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912237892 NPPES
New York MEDICAID 01410099

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