NPI 1093832545

West 12th Street Icl

Organisation Developmentally Disabled Services Day Training Agency Brooklyn, NY

Practice location

Address: 2372 W 12th St, Brooklyn, NY 11223-5734
Phone: (718) 373-6019
Mailing address: 125 Broad Street 3rd Floor, New York, NY 10004-2400

Authorised official

Name: Dewey H. Howard
Title: Cfo
Phone: (212) 385-3030

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in New York →

Registry record

NPI: 1093832545
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 17 Jun 2015

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.