Organization
INDEPENDENCE CARE SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI O'NEILL (CFO)
(646) 831-7215
Entity
Organization
Contact information
Practice address
136 BUSHWICK AVE, BROOKLYN, NY 11206
(877) 427-2525
(212) 584-5555
Mailing address
169 MADISON AVE STE 15744, NEW YORK, NY 10016-5101
(877) 427-2525
(212) 584-2555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05451574
—
NY
Enumeration date
10/29/2014
Last updated
04/22/2026
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