Organization
RISEWELL COMMUNITY SERVICES
Active
Other names
Federation of Organizations for the NYS Mentally Disabled
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MCCARTHY CFO (CHIEF FINANCIAL OFFICER)
(631) 669-5355
Entity
Organization
Contact information
Practice address
240A LONG ISLAND AVE, WYANDANCH, NY 11798-3123
(631) 782-6200
(631) 491-5354
Mailing address
1 FARMINGDALE ROAD, ROUTE 109, WEST BABYLON, NY 11704
(631) 669-5355
(631) 669-5355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WEY681
MEDICARE PTAN
NY
Enumeration date
03/24/2015
Last updated
09/23/2025
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