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IBR GEORGE A JERVIS CLINIC
NPI 1750469912
Clinic/Center - Developmental Disabilities in Staten Island, NY

Active since November 02, 2006
1050 FOREST HILL RD, STATEN ISLAND, NY 10314(718) 494-5151(718) 494-2258 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ibr George A Jervis Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IBR GEORGE A JERVIS CLINIC (NPI 1750469912) is a healthcare organization registered as a developmental disabilities in Staten Island, New York and active in the NPI registry since November 2006. The organization lists Earl Jefferson, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1750469912
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSTATE OF NEW YORK COMPTROLLERS OFFICE
Location Address1050 FOREST HILL RDStaten Island, NY 10314-6356
Mailing Address44 Holland AvenueAlbany, NY 12229-0001 · (518) 402-4333 · Fax (518) 473-1874
Phone(718) 494-5151
Fax(718) 494-2258
Organization SubpartYes
Authorized OfficialEarl JeffersonDirector Of Central Operations · (518) 402-4333
Enumeration DateNovember 2, 2006
Last NPPES UpdateDecember 28, 2015
✔ NPI 1750469912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License✔ Licensed in NY · 224141
Definition
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.).
1050 FOREST HILL RD, Staten Island, NY 10314
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Other Names 1

Other NameIbr George A Jervis Clinic

Other Identifiers 3

Medicaid00869952NY
Other224141NY · Omrdd Operating Cert #
Medicare PINA100018662NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRA L COHEN
Psychologist (Clinical)
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5181
MS. YINGYI LIAO
Registered Nurse
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5159
KAREN B AMBLE LMSW
Social Worker (Clinical)
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5126
INSTITTUE FOR BASIC RESEARCH (NYS OPWDD)
Early Intervention Provider Agency
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5117
SETH A ADELMAN M.D.
Psychiatry & Neurology (Neurology)
1050 FOREST HILL RD, GEORGE JERVIS CLINIC
STATEN ISLAND, NY 10314
Richmond County (718) 494-5180
NANCY ZELLERS MS
Genetic Counselor, MS
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5369
DR. DARLYNNE ADA DEVENNY PHD
Speech-Language Pathologist
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5325
VICKI SUDHALTER PH.D.
Psychologist (Clinical)
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5182

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of New York Comptrollers Office's NPI number?

The NPI number for State Of New York Comptrollers Office is 1750469912. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is also known as Ibr George A Jervis Clinic.

Where is State Of New York Comptrollers Office located?

State Of New York Comptrollers Office is located at 1050 Forest Hill Rd, Staten Island, NY 10314. The listed phone number is (718) 494-5151.

What is State Of New York Comptrollers Office's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for State Of New York Comptrollers Office was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.