| Institute For Community Living, Inc. | |
|
Institue For Community Living, Inc. 40 Rector Street New York NY 10006 | |
| (718) 855-7485 | |
| (718) 855-1317 |
| Full Name | Institute For Community Living, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | Institue For Community Living, Inc., New York, New York |
| Authorized Official Name and Position | Kenneth Michael Lee (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7188557485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Community Living, Inc. 8615 Ava Pl Apt. 3g Jamaica NY 11432-2900 Ph: (718) 855-7485 | Institute For Community Living, Inc. Institue For Community Living, Inc. 40 Rector Street New York NY 10006 Ph: (718) 855-7485 |
| NPI Number | 1134328784 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134328784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P0642861 (New York) | Primary |
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