Organization
INTERNATIONAL CENTER FOR THE DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED ROSS LCSW (SENIOR DIRCTOR OF CLINICAL DEPT.)
(212) 585-6000
Entity
Organization
Contact information
Practice address
340 E 24TH ST, NEW YORK, NY 10010-4019
(212) 585-6000
(212) 585-6262
Mailing address
340 EAST 24TH STREET, NEW YORK, NY 10010
(212) 585-6000
(212) 585-6262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
003287-1
NY
251S00000X
Community/Behavioral Health Agency
12429
NY
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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