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
261QH0700X
Hearing and Speech Clinic/Center
Primary
7002212R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244413
—
NY
01
—
040816000080
FIDELIS CARE NY
NY
01
—
177385
HOME FIRST
NY
01
—
58P0081
NY PRESBY HEALTH PLAN
NY
01
—
A31902
PERFORMAX-MULTIPLAN
NY
01
—
DB5292
RAILROAD RETIREMENT BOARD
NY
01
—
UU503
VNS CHOICE
NY
Enumeration date
06/11/2007
Last updated
08/22/2020
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