Healthcare Provider Details

I. General information

NPI: 1811867534
Provider Name (Legal Business Name): THE COMMUNITY PROGRAMS CENTER OF L.I.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 11/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SHEEP PASTURE ROAD
PORT JEFFERSON NY
11777-2059
US

IV. Provider business mailing address

2210 SMITHTOWN AVENUE
RONKONKOMA NY
11779-7329
US

V. Phone/Fax

Practice location:
  • Phone: 631-476-9698
  • Fax: 631-642-9697
Mailing address:
  • Phone: 631-585-2020
  • Fax: 631-585-1243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. COLLEEN CRISPINO
Title or Position: PRESIDENT & CEO
Credential:
Phone: 631-232-0011