| Icl, Inc. | |
|
25 Chapel St Brooklyn NY 11201-1952 | |
| (212) 385-3030 | |
| Not Available |
| Full Name | Icl, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25 Chapel St, Brooklyn, New York |
| Authorized Official Name and Position | David Woodlock (CEO AND PRESIDENT) |
| Authorized Official Contact | 2123853030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icl, Inc. 125 Broad St New York NY 10004-2400 Ph: (212) 385-3030 | Icl, Inc. 25 Chapel St Brooklyn NY 11201-1952 Ph: (212) 385-3030 |
| NPI Number | 1306220702 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306220702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 095183 (New York) | Primary |
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