Ic Response Ny Inc

Specialty details in registry · Brooklyn, NY

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At a glance

2615 Avenue W, Brooklyn, NY 11229-5041

NPPES record updated Feb 7, 2018. Public records can lag behind changes at a practice.

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Practice location

2615 Avenue W
Brooklyn, NY 11229-5041

Professional details: NPI, taxonomy & registry record

NPI1245739044

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 174400000X
Enumeration date: Feb 7, 2018
Record updated: Feb 7, 2018

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X

License reported: 000468-1 NY

Specialty details in registry

174400000X · Primary

Speech-Language Pathologist

235Z00000X

License reported: 024299-1 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2615 Avenue W
Brooklyn, NY 11229-5041

Phone: (646) 670-3093

Mailing address

2615 AVENUE W

BROOKLYN, NY 112295041

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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