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INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT INC. NPI 1285910828


NPI Information

NPI: 1285910828
Provider Name: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC.

Doing Business As: ICCD

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
3555 223RD ST
BAYSIDE, NY
ZIP 11361
Phone: (718) 428-5370
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INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC. is a developmental disabilities clinic center in Bayside, NY. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC. NPI is 1285910828. The provider is registered as an organization entity type.
The provider Is Doing Business As Iccd.

The provider's business location address is:

3555 223RD ST
BAYSIDE, NY
ZIP 11361-236
Phone: (718) 428-5370
Fax: (718) 428-5462

The provider's authorized official is David Locker .
The authorized official title is Executive Director and has the following contact phone number (718) 428-5370.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 10/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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