Organization · Type 2 NPI

State of New York Comptrollers Office

Developmental Disabilities Clinic/Center · Staten Island, NY

NPI number 1356286124 Active

Practice location

930 Willowbrook Rd Bldg 15L
Staten Island, NY 10314-4209

Mailing address

44 Holland Ave
Albany, NY 12208-3411

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1356286124

State of New York Comptrollers Office's National Provider Identifier is 1356286124, issued on Apr 20, 2026. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Staten Island, NY. The record was last updated on May 8, 2026.