Organization
RISING TIDE HABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MURRAY (DIRECTOR)
(631) 948-4335
Entity
Organization
Contact information
Practice address
496 SMITHTOWN BYP, SMITHTOWN, NY 11787-5005
(631) 909-3863
Mailing address
496 SMITHTOWN BYP, SMITHTOWN, NY 11787-5005
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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