Samaritan Daytop Village, Inc.

LBN: Samaritan Daytop Village, Inc.
Samaritan Daytop Village, Inc. is an health care organization with primary practice located at 362 East 148Th Street 1St & 2Nd Floor, Bronx NY 10455. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Samaritan Daytop Village, Inc. can be contacted via phone (718) 292-4640, or through Madray, Charles via phone (718) 206-2000.

Contact Information

Primary practice address
362 East 148Th Street 1St & 2Nd Floor Bronx NY 10455
Phone: (718) 292-4640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Madray, Charles
Phone: (718) 206-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1235501313
LBN Legal business name Samaritan Daytop Village, Inc.
DBA Doing business as
Authorized official Madray, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2015
Last updated Nov 15th, 2023 - about last year

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 1235501313 NPPES
New York MEDICAID 00245309

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