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Contact Information

DEVELOPMENTAL DISIABILITIES INSTITUTE
757 OLD MEDFORD AVE
MEDFORD, NY11763-3527
 Phone: 631-366-5876
 Fax: 631-366-5893
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for DEVELOPMENTAL DISIABILITIES INSTITUTE

NPI Number 1326213190
LBN Legal business name DEVELOPMENTAL DISIABILITIES INSTITUTE
Authorized official ANNMARIE ROZA - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Identifiers n/a
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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