Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Long Island Ddso

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1366635732

Long Island Ddso is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Commack, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

45 Mall Dr Ste 1
Commack, NY 11725-5700
Phone: (631) 493-1747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X (NY)

Record details

NPI number1366635732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Rice — Chief Psychologist · (631) 493-1747
NPI enumeratedAugust 20, 2007
Last updated in NPPESAugust 20, 2007
Mailing address45 Mall Dr, Suite 1, Commack, NY 11725-5700