Organization
INTERNATIONAL CENTER FOR THE DISABLED
Active
Organization
INTERNATIONAL CENTER FOR THE DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS XIOMARA AMANDA MIGLIORINO CASAC (SUBSTANCE ABUSE COUNSELOR)
(212) 585-6221
Entity
Organization
Contact information
Practice address
340 E 24TH ST, SUITE 311, NEW YORK, NY 10010-4019
(212) 585-6221
Mailing address
237 W 115TH ST, APT 6A, NEW YORK, NY 10026-2900
(347) 500-0017
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
110110619
NY
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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