Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Staten Island, NY

NPI number 1275673287 Active

Practice location

24 O Executive Way
Staten Island, NY 10314

Call (518) 402-4333 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X00276639 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

Other intellectual disabilities intermediate care facility providers in Staten Island

See all in Staten Island →

About NPI 1275673287

State of New York's National Provider Identifier is 1275673287, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 26, 2008.