OrganizationActive
Developmemtal Disabilities Institute
NPI 1508031394 · Intellectual Disabilities Intermediate Care Facility · Sayville, NY
Provider details
- NPI number
- 1508031394
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Sophia Samuel, Cfo
Practice location
98 Bourne Blvd
Sayville, NY 11782-3307
Phone: (631) 366-5876
Fax: (631) 366-5893
Mailing address
99 Hollywood Dr
Smithtown, NY 11787-3135
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2015-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.