Provider Demographics
NPI:1619005774
Name:INTER-CARE LTD
Entity Type:Organization
Organization Name:INTER-CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-532-0303
Mailing Address - Street 1:51 E 25TH ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2945
Mailing Address - Country:US
Mailing Address - Phone:212-532-0303
Mailing Address - Fax:212-532-9225
Practice Address - Street 1:51 E 25TH ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2945
Practice Address - Country:US
Practice Address - Phone:212-532-0303
Practice Address - Fax:212-532-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY089660OtherVALUE OPTIONS
NY20566OtherCIGNA BEHAVIORAL HEALTH
NY002788OtherEMPIRE BCBS
NYA478610OtherOXFORD
NY01358745Medicaid
NY006537OtherMHN
NY089660OtherVALUE OPTIONS
NY20566OtherCIGNA BEHAVIORAL HEALTH
NY=========OtherHIP
NY=========OtherUNITED BEHAVIORAL HEALTH
NY=========OtherLOCAL 807 H&W FUND
NYA478610OtherOXFORD
NY=========OtherUNITED HEALTH CARE
NY=========OtherADMINISTRATIVE CONCEPTS
NY=========OtherLOCAL 851 IBT TRUST WELFA
NY=========00OtherGHI
NY01358745Medicaid