OrganizationActive
Camelot of Si
NPI 1063806016 · Children's Substance Abuse Rehabilitation Facility · Staten Island, NY
Provider details
- NPI number
- 1063806016
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Luke Nasta, Executive Director(718) 816-6589
Specialties & taxonomies
Residential Treatment Facilities
Practice location
460 Brielle Ave
Staten Island, NY 10314-6427
Phone: (718) 816-6589
Approximate (ZIP-level) locationGet directions
Mailing address
460 Brielle Ave
Staten Island, NY 10314-6427
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2015-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.