OrganizationActive
Interdisciplinary Center for Child Development, Inc.
NPI 1285910828 · Developmental Disabilities Clinic/Center · Bayside, NY
Provider details
- NPI number
- 1285910828
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Locker, Executive Director(718) 428-5370
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3555 223rd St
Bayside, NY 11361-2236
Phone: (718) 428-5370
Fax: (718) 428-5462
Approximate (ZIP-level) locationGet directions
Mailing address
3555 223rd St
Bayside, NY 11361-2236
Other names (DBA / former)
- Doing business as
- Iccd
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.