Staten Island Developmental Disabilities Services Office

NPI #1144423062 in Staten Island, New York

Provider Information

NPI Number
1144423062
Entity Type
Organization
Organization Name
Staten Island Developmental Disabilities Services Office
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 7, 2007
Last Updated
Mar 7, 2023

Practice Location

Address
1150 FOREST HILL RD
ZIP Code
10314-6316
Phone
(718) 983-5365

Authorized Official

Name
DR. DAVID E BOOTH, PH.D
Title
DIRECTOR
Phone
(718) 983-5321

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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