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

Staten Island Developmental Disabilities Services Office

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1144423062

Staten Island Developmental Disabilities Services Office is an Intellectual and/or Developmental Disabilities Residential Treatment 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

1150 Forest Hill Rd
Staten Island, NY 10314-6316
Phone: (718) 983-5365
Fax: (718) 983-5462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 006544 (NY)

Record details

NPI number1144423062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Booth — Director · (718) 983-5321
NPI enumeratedJune 7, 2007
Last updated in NPPESMarch 7, 2023
Mailing address1150 Forest Hill Rd, Staten Island, NY 10314-6316

Other providers in Staten Island