OrganizationActive
Developmental Disabilities Institute, Inc.
NPI 1144273996 · Community Health Clinic/Center · Riverhead, NY
Provider details
- NPI number
- 1144273996
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sophia Samuel, Cfo(631) 366-2960
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
883 E Main St
Riverhead, NY 11901-2613
Phone: (631) 284-5500
Fax: (631) 369-7421
Approximate (ZIP-level) locationGet directions
Mailing address
99 Hollywood Dr
Smithtown, NY 11787-3135
Other names (DBA / former)
- Doing business as
- Opti-Healthcare
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2014-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.