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

Rising Tide Habilitation Services Inc

Organization Multi-Specialty Clinic/Center · NPI 1639048804

Rising Tide Habilitation Services Inc is a Multi-Specialty Clinic/Center in Smithtown, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

496 Smithtown Byp
Smithtown, NY 11787-5005
Phone: (631) 909-3863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1639048804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Murray — Director · (631) 948-4335
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address496 Smithtown Byp, Smithtown, NY 11787-5005

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