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Organization
ICD INTERNATIONAL CENTER FOR THE DISABLED
Active
Organization
ICD INTERNATIONAL CENTER FOR THE DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LES HALPERT PH.D. (PRESIDENT AND CEO)
(212) 585-6009
Entity
Organization
Contact information
Practice address
340 E 24TH ST, NEW YORK, NY 10010-4019
(212) 585-6000
(212) 585-6262
Mailing address
340 E 24TH ST, NEW YORK, NY 10010-4019
(212) 585-6000
(212) 585-6262
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6704100A
NY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
090110619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244413
—
NY
01
—
040816000080
FIDELIS CARE NEW YORK
NY
01
—
1054350
BEACON HEALTH STRATEGIES
NY
01
—
3186529
GHI-BMP
NY
01
—
58P0081
NYPRESBY HEALTH PLAN
NY
01
—
A31902
PERFORMAX-MULTIPLAN
NY
01
—
DB5292
RAILROAD RETIREMENT BOARD
NY
Enumeration date
06/11/2007
Last updated
01/04/2013
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