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LONG ISLAND DDSO
NPI 1366635732
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Commack, NY

Active since August 20, 2007
45 MALL DR, SUITE 1, COMMACK, NY 11725(631) 493-1747 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Long Island Ddso NPPES

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

LONG ISLAND DDSO (NPI 1366635732) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Commack, New York and active in the NPI registry since August 2007. The organization lists Richard Rice, Chief Psychologist, as its authorized official.

NPPES Registry Identity

NPI1366635732
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameLONG ISLAND DDSO
Location Address45 MALL DR, SUITE 1Commack, NY 11725-5700
Mailing Address45 Mall Dr, Suite 1Commack, NY 11725-5700
Phone(631) 493-1747
Organization SubpartNo
Authorized OfficialRichard RiceChief Psychologist · (631) 493-1747
Enumeration DateAugust 20, 2007
✔ NPI 1366635732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
45 MALL DR, Commack, NY 11725
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Other Providers at the Same Location NPPES 2

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

PRABHA PILLAI M.D
Internal Medicine (Geriatric Medicine)
45 MALL DR
COMMACK, NY 11725
Suffolk County (914) 376-5555
DR. IVY D CHUNG M.D.
Family Medicine
45 MALL DR
COMMACK, NY 11725
Suffolk County (631) 326-4563

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 Long Island Ddso's NPI number?

The NPI number for Long Island Ddso is 1366635732. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Long Island Ddso located?

Long Island Ddso is located at 45 Mall Dr Suite 1, Commack, NY 11725. The listed phone number is (631) 493-1747.

What is Long Island Ddso's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Long Island Ddso was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.