Organization
DEVELOPMENTAL DISABILITIES INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN-MARIE ROZA (CHIEF FINANCIAL OFFICER)
(631) 366-2960
Entity
Organization
Contact information
Practice address
99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
(631) 366-2900
Mailing address
99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
(631) 366-2900
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NY
Other
Enumeration date
03/18/2009
Last updated
06/23/2009
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