OrganizationActive
Developmental Disabilities Institute
NPI 1598930828 · Intellectual Disabilities Intermediate Care Facility · Smithtown, NY
Provider details
- NPI number
- 1598930828
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sophia Samuel, Cfo(631) 366-2960
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
99 Hollywood Dr
Smithtown, NY 11787-3135
Phone: (631) 366-5876
Fax: (631) 366-5893
Approximate (ZIP-level) locationGet directions
Mailing address
99 Hollywood Dr
Smithtown, NY 11787-3135
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2015-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.