Developmental Disiabilities Institute

NPI #1528233301 in Ridge, New York

Provider Information

NPI Number
1528233301
Entity Type
Organization
Organization Name
Developmental Disiabilities Institute
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 23, 2008
Last Updated
Aug 14, 2015

Practice Location

Address
73 WADING RIVER HOLLOW RD
City
Ridge
ZIP Code
11961-2315
Phone
(631) 366-5876

Authorized Official

Name
MRS. SOPHIA SAMUEL
Title
A/R MANAGER
Phone
(631) 366-2960

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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