Organization
ICL EAST 170TH STREET (ICF)
Active
Organization
ICL EAST 170TH STREET (ICF)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEWEY H. HOWARD (CFO)
(212) 385-3030
Entity
Organization
Contact information
Practice address
650 E 170TH ST, BRONX, NY 10456-2327
(718) 542-2529
Mailing address
125 BROAD ST, 3RD FLOOR, NEW YORK, NY 10004-2400
(212) 385-3030
(917) 831-4451
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02517077
—
NY
Enumeration date
03/14/2007
Last updated
06/17/2015
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