Organization
INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC.
Active
Other names
ICCD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LOCKER (EXECUTIVE DIRECTOR)
(718) 428-5370
Entity
Organization
Contact information
Practice address
3555 223RD ST, BAYSIDE, NY 11361-2236
(718) 428-5370
(718) 428-5462
Mailing address
3555 223RD ST, BAYSIDE, NY 11361-2236
(718) 428-5370
(718) 428-5462
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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