Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CAMPANELLI (PRESIDENT)
(212) 385-3030
Entity
Organization
Contact information
Practice address
2384 ATLANTIC AVENUE, BROOKLYN, NY 11322
(212) 385-3030
(212) 385-2380
Mailing address
40 RECTOR ST, NEW YORK, NY 10006-1705
(212) 385-3030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
074164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01551404
—
NY
Enumeration date
08/29/2008
Last updated
08/29/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up