Organization
INDEPENDENT LIVING ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK DE LUCIA C.P.A. (DEPUTY EXEC. DIR. / CFO)
(718) 852-2000
Entity
Organization
Contact information
Practice address
110 YORK ST FL 4, BROOKLYN, NY 11201-1412
(718) 852-2000
(718) 852-6175
Mailing address
110 YORK ST FL 4, BROOKLYN, NY 11201-1412
(718) 852-2000
(718) 852-6175
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
07645476
NY
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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