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Staten Island Developmental Disabilities Services Office
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Staten Island, New York
NPI 1144423062

Staten Island Developmental Disabilities Services Office is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Staten Island, NY. Staten Island Developmental Disabilities Services Office practices in Staten Island, NY. The NPI Number for Staten Island Developmental Disabilities Services Office is 1144423062 and holds a License No. 006544 (New York).

The current practice location address for Staten Island Developmental Disabilities Services Office is 1150 Forest Hill Rd, Staten Island, NY and can be reached out via phone at 718-983-5365 and via fax at 718-983-5462.

Location: 1150 Forest Hill Rd, Staten Island, NY, 10314-6316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144423062
Provider Name
Staten Island Developmental Disabilities Services Office
Credential
Provider Entity Type
Organization
Address
1150 Forest Hill Rd, Staten Island, NY, 10314-6316
Phone Number
718-983-5365
Fax Number
718-983-5462
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01113928 05 NY
3351739 01 NY NCPDP PROVIDER ID
006544 01 NY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1150 Forest Hill Rd
City
Staten Island
State
New York
Zip
10314-6316
Phone Number
718-983-5365
Fax Number
718-983-5462
person
Provider Business Mailing Address Details
Address
1150 Forest Hill Rd
City
Staten Island
State
New York
Zip
10314-6316
Phone Number
718-983-5365
Fax Number
718-983-5462
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
006544 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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