Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of New York

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1013056712

State of New York is an Intellectual Disabilities Intermediate Care Facility in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

777 Seaview Ave
Staten Island, NY 10314
Phone: (518) 402-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence OMRDD276 (NY)

Record details

NPI number1013056712
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of New York
Authorized official Karla Smith — Director Of Central Operations · (518) 402-4333
Other names Staten Island Ddso
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJune 25, 2008
Mailing address44 Holland Ave, Albany, NY 12229-0001

Other providers in Staten Island