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General NPI Number Information
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NPI Number | 1811867534
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Entity Type | Organization
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Legal Business Name | THE COMMUNITY PROGRAMS CENTER OF L.I.
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 400 SHEEP PASTURE ROAD
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2059
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Country | US
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Telephone | 631-476-9698
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Fax | 631-642-9697
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Provider Business Mailing Address
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Address Line | 2210 SMITHTOWN AVENUE
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City | RONKONKOMA
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State | NY
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Zip | 11779-7329
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Country | US
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Telephone | 631-585-2020
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Fax | 631-585-1243
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. COLLEEN CRISPINO
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Credential |
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Telephone | 631-232-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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