Organization · Type 2 NPI

Rising Tide Habilitation Services Inc

Multi-Specialty Clinic/Center · Smithtown, NY

NPI number 1639048804 Active

Practice location

496 Smithtown Byp
Smithtown, NY 11787-5005

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1639048804

Rising Tide Habilitation Services Inc's National Provider Identifier is 1639048804, issued on Nov 4, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Smithtown, NY. The record was last updated on Nov 4, 2025.