RISEWELL COMMUNITY SERVICES NPI 1275927600

NPI Information

  • NPI: 1275927600
  • Provider Name: RISEWELL COMMUNITY SERVICES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • :
  • Address: 240A LONG ISLAND AVE
    WYANDANCH, NY
    ZIP 11798
  • Phone: (631) 782-6200

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NPI Details

RISEWELL COMMUNITY SERVICES is a clinic center in Wyandanch, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RISEWELL COMMUNITY SERVICES NPI is 1275927600. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

240A LONG ISLAND AVE
WYANDANCH, NY
ZIP 11798-123
Phone: (631) 782-6200
Fax: (631) 491-5354

The provider's authorized official is Stephen Mccarthy .
The authorized official title is Chief Financial Officer and has the following contact phone number (631) 669-5355.

The enumeration date for this NPI number is 3/24/2015 and was last updated on 9/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WEY681OTHERNEW YORKMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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