Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Institute for Community Living , Inc

Organization Clinic/Center · NPI 1811571565

Institute for Community Living , Inc is a Clinic/Center in New York, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Broad St
New York, NY 10004-2768
Phone: (212) 385-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1811571565
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInstitute for Community Living, Inc
Authorized official Lynette Bacchus — Assistant Controller · (212) 385-3030
Other names As One; Institute For Community Living, Inc.
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address125 Broad Street, New York, NY 10004-2768

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