INNOVATIVE CAREER CENTER LLC NPI 1891067377

NPI Information

NPI: 1891067377
Provider Name: INNOVATIVE CAREER CENTER LLC
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
116 W 23RD ST
#206, 5TH FLOOR
NEW YORK, NY
ZIP 10011
Phone: (917) 445-6323
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INNOVATIVE CAREER CENTER LLC is an intellectual and developmental disabilities in New York, NY. INNOVATIVE CAREER CENTER LLC NPI is 1891067377. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

116 W 23RD ST
#206, 5TH FLOOR
NEW YORK, NY
ZIP 10011-599
Phone: (917) 445-6323
Fax: (212) 313-9439

The provider's authorized official is Rosa Nelly Lavergne .
The authorized official title is Owner and has the following contact phone number (917) 445-6323.

The enumeration date for this NPI number is 1/31/2012 and was last updated on 1/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TR0400X	Psychologist	Rehabilitation	37RT00288300	NEW JERSEY	No
2	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	000351-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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