Samaritan Daytop Village, Inc.

LBN: Samaritan Daytop Village, Inc.
Samaritan Daytop Village, Inc. is an health care organization with primary practice located at 368 E 148Th St , Bronx NY 10455-4005. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Samaritan Daytop Village, Inc. can be contacted via phone (718) 402-2614, or through Madray, Charles via phone (718) 206-2000.

Contact Information

Primary practice address
368 E 148Th St Bronx NY 10455-4005
Phone: (718) 402-2614
Fax: (718) 402-5017
Website:
Map and Directions
Authorized official contact:
Name: Madray, Charles
Phone: (718) 206-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 132690403 New York

Profile Details

NPI number 1245272772
LBN Legal business name Samaritan Daytop Village, Inc.
DBA Doing business as
Authorized official Madray, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Apr 14th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245272772 NPPES
New York MEDICAID 012222191

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