Staten Island Developmental Disabilities Services Office
LBN: Staten Island Developmental Disabilities Services Office
Staten Island Developmental Disabilities Services Office is an health care organization with primary practice located at 1150 Forest Hill Rd , Staten Island NY 10314-6316. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Staten Island Developmental Disabilities Services Office can be contacted via phone (718) 983-5365, or through Booth, David E via phone (718) 983-5321.
Contact Information
Primary practice address
1150 Forest Hill Rd
Staten Island NY 10314-6316
Phone: (718) 983-5365
Fax: (718) 983-5462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 006544 | New York |
Profile Details
| NPI number | 1144423062 |
|---|---|
| LBN Legal business name | Staten Island Developmental Disabilities Services Office |
| DBA Doing business as | |
| Authorized official | Booth, David E PH.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144423062 | NPPES |
| New York | MEDICAID | 01113928 | |
| New York | Other | 3351739 | |
| New York | Other | 006544 |
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