NPI 1144423062
Staten Island Developmental Disabilities Services Office
Practice location
- Address
- 1150 Forest Hill Rd, Staten Island, NY 10314-6316
- Phone
- (718) 983-5365
- Fax
- (718) 983-5462
Authorised official
- Name
- David E Booth
- Title
- Director
- Phone
- (718) 983-5321
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1144423062
- Entity type
- Organization
- NPI issued
- 7 Jun 2007
- Record last updated
- 7 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.