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Contact Information

AID TO THE DEVELOPMENTALLY DISABLED
700 SKUNK LN
CUTCHOGUE, NY11935-1519
 Phone: 631-734-7719
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for AID TO THE DEVELOPMENTALLY DISABLED

NPI Number 1164587069
LBN Legal business name AID TO THE DEVELOPMENTALLY DISABLED
Authorized official DONALD RIEB - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 7569443
NY Medicaid 01068368
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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