Lsa Recovery

LBN: Interborough Developmental And Consultation Center, Inc.
Lsa Recovery is an health care organization with primary practice located at 1623 Kings Hwy , Brooklyn NY 11229-1209. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Case Management. Agencies / Case Management is the primary health care specialty. Interborough Developmental And Consultation Center, Inc. can be contacted via phone (718) 375-1200, or through Gersten, Stephen via phone (929) 273-7601.

Contact Information

Primary practice address
1623 Kings Hwy Brooklyn NY 11229-1209
Phone: (718) 375-1200
Fax: (718) 382-3358
Website:
Map and Directions
Authorized official contact:
Name: Gersten, Stephen PSY.D.
Phone: (929) 273-7601

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Case Management 251B00000X 6989100A New York

Profile Details

NPI number 1588611842
LBN Legal business name Interborough Developmental And Consultation Center, Inc.
DBA Doing business as Lsa Recovery
Authorized official Gersten, Stephen PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Apr 19th, 2021 - about 5 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 1588611842 NPPES
New York MEDICAID 00245318

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