Organization
LONG ISLAND DDSO
Active
Organization
LONG ISLAND DDSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RICE (CHIEF PSYCHOLOGIST)
(631) 493-1747
Entity
Organization
Contact information
Practice address
45 MALL DR, SUITE 1, COMMACK, NY 11725-5700
(631) 493-1747
Mailing address
45 MALL DR, SUITE 1, COMMACK, NY 11725-5700
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NY
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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