National Provider Identifier Database

DEVELOPMENTAL DISIABILITIES INSTITUTE
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

DEVELOPMENTAL DISIABILITIES INSTITUTE
757 OLD MEDFORD AVE
MEDFORD, NY11763-3527
Phone: 631-366-5876
Fax: 631-366-5893
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for DEVELOPMENTAL DISIABILITIES INSTITUTE

NPI Number 1326213190
Legal business name
LBN
DEVELOPMENTAL DISIABILITIES INSTITUTE
Authorized official ANNMARIE ROZA - (CFO)
Entity Organization
Organization subpart No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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