Organization
ICL HEALTHCARE CHOICES INC
Active
Organization
ICL HEALTHCARE CHOICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SIEBEL LCSW (CEO)
(718) 234-0073
Entity
Organization
Contact information
Practice address
2110 BORDEN AVE, LONG ISLAND CITY, NY 11101-4518
(718) 784-5696
(347) 649-0663
Mailing address
6209 16TH AVE, BROOKLYN, NY 11204-2702
(718) 234-0073
(718) 236-8456
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7001299R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02186390
—
NY
01
—
33-1151
PART A
NY
01
—
G100253445
PART B
NY
Enumeration date
05/26/2017
Last updated
06/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up