NPI 1528233301

Developmental Disiabilities Institute

Organisation Intellectual Disabilities Intermediate Care Facility Ridge, NY

Practice location

Address: 73 Wading River Hollow Rd, Ridge, NY 11961-2315
Phone: (631) 366-5876
Fax: (631) 366-5893
Mailing address: 99 Hollywood Dr, Smithtown, NY 11787-3135

Authorised official

Name: Sophia Samuel
Title: A/R Manager
Phone: (631) 366-2960

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in New York →

Registry record

NPI: 1528233301
Entity type: Organization
NPI issued: 23 Apr 2008
Record last updated: 14 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.