Organization · NPI-2

Avenue K (Icl)

Day Training, Developmentally Disabled Services · Brooklyn, NY

NPI number1699891911
StatusActive
Last updated in NPPESJun 17, 2015

Details

NPI
1699891911
Entity type
Organization (NPI-2)
Legal business name
Avenue K (Icl)
Organization subpart
No
Enumeration date
Mar 21, 2007
Last updated
Jun 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Practice location

9001 Avenue K
Brooklyn, NY 11236-4215

Phone 718-341-6091

Mailing address

125 Broad Street
3rd Floor
New York, NY 10004-2400

Phone 212-385-3030 · Fax 917-831-4451

Authorized official

Dewey H. Howard
Cfo
2123853030

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