NPI 1013150531
Icl Garden House (ave D) Icf
Practice location
- Address
- 4715 Avenue D Icl Garden House (ave D) Icf, Brooklyn, NY 11203
- Phone
- (718) 451-2817
- Mailing address
- 4715 Avenue D, Brooklyn, NY 11203-5817
Authorised official
- Name
- Lynette Bacchus
- Title
- Asst Controller
- Phone
- (212) 385-3030
Registered specialties
Mental Illness Intermediate Care Facility
Primary
Registry record
- NPI
- 1013150531
- Entity type
- Organization
- NPI issued
- 14 Apr 2009
- Record last updated
- 4 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.