Icl Act Team Bushwick

NPI 1215184684 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1215184684
Enumeration Date 08/27/2008
Last Updated 04/29/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DEWEY DEWEY
Position C F O
Phone (212) 385-3030
Fax (212) 385-2380
Practice Location
2384 ATLANTIC AVE
BROOKLYN NY, 11233-3402, US
Phone (212) 385-3030
Fax (212) 385-2380
Business Location
40 RECTOR ST
NEW YORK NY, 10006-1705, US
Phone (212) 385-3030
Fax (212) 385-2380
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Icl Act Team Bushwick NPI is 1215184684, taxonomy code is 251S00000X Icl Act Team Bushwick physically located at 2384 Atlantic Ave, Brooklyn NY, 11233-3402. NPI Number 1033115704 has the healthcare provider type.

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1215184684 NPI number is provided on an as is basis without warranty of any kind. 1215184684 is maintained by the National Plan & Provider Enumeration System. The contents of Icl Act Team Bushwick are for informational purposes only.