ICD INTERNATIONAL CENTER FOR THE DISABLED (NPI# 1295808020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295808020 |
| Entity Type | Organization |
| Organization Name | ICD INTERNATIONAL CENTER FOR THE DISABLED |
| Practice Address |
340 E 24th St New York NY 10010-4019 |
| Practice Telephone | 2125856000 |
| Practice Fax Number | 2125856262 |
| Mailing Telephone | 2125856000 |
| Mailing Fax Number | 2125856262 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LES HALPERT (CEO AND PRESIDENT) |
| Authorized Official Telephone | 2125856009 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
70022112R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RAILROAD RETIREMENT BD | DB5292 | 01 |
| NY | FIDELIS HEALTHCARE | 040816000080 | 01 |
| NY | NY HOSPITAL CHP | 58P0081 | 01 |
| NY | 00244413 | 05 | |
| NY | PERFORMAX-MULTIPLAN | A31902 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013112358 | Icd International Center for The Disabled | Clinic/Center | 421 E 106th St, New York, NY 10029-4846 | 2007-06-18 |
| 1174726616 | Icd International Center for The Disabled | Clinic/Center | 340 E 24th St, New York, NY 10010-4019 | 2007-06-11 |
| 1912100454 | Icd International Center for The Disabled | Clinic/Center | 340 E 24th St, New York, NY 10010-4019 | 2007-06-11 |
| Street Address |
340 E 24TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912984147 | Andrew Michael Petronio | Social Worker | 340 E 24th St, Office 528, New York, NY 10010-4019 | 2005-12-29 |
| 1700137387 | Michelle Palmer Boonswang | Student in an Organized Health Care Education/Training Program | 340 E 24th St, New York, NY 10010-4019 | 2012-09-24 |
| 1689954646 | Sandra Anne Kupprat | Student in an Organized Health Care Education/Training Program | 340 E 24th St, New York, NY 10010-4019 | 2011-08-23 |
| 1225320724 | Lisa Corinne Kearny | Occupational Therapist | 340 E 24th St, New York, NY 10010-4019 | 2011-05-03 |
| 1831495001 | Catherine O'neill | Registered Nurse | 340 E 24th St, New York, NY 10010-4019 | 2011-02-04 |
| 1235434333 | Xiomara Amanda Migliorino | Counselor | 340 E 24th St, Suite 311, New York, NY 10010-4019 | 2011-01-20 |
| 1346540838 | Amy Dimun | Counselor | 340 E 24th St, New York, NY 10010-4019 | 2010-10-30 |
| 1336449222 | International Center for The Disabled | Clinic/Center | 340 E 24th St, Suite 311, New York, NY 10010-4019 | 2010-10-26 |
| 1407163033 | Victoria Olivotti | Speech-Language Pathologist | 340 E 24th St, New York, NY 10010-4019 | 2010-09-02 |
| 1710299011 | Sacha Khaloyan | Occupational Therapist | 340 E 24th St, New York, NY 10010-4019 | 2010-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
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| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.