# INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IDCC Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912867433
- **Authorized official:** STEPHEN GERSTEN (PRESIDENT)
- **Authorized official phone:** (646) 491-3711

## Contact information

- **Practice address:** 445 KINGS HWY STE 2, BROOKLYN, NY 11223-1780
- **Practice address phone:** (718) 645-0300
- **Practice address fax:** (718) 375-5920
- **Mailing address:** 445 KINGS HWY STE 2, BROOKLYN, NY 11223-1780
- **Mailing address phone:** (718) 645-0300
- **Mailing address fax:** (718) 375-5920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 03/27/2026
