Daytop Village, Inc.

LBN: Samaritan Daytop Village, Inc.
Daytop Village, Inc. is an health care organization with primary practice located at 1915 Forest Ave , Staten Island NY 10303-2127. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Samaritan Daytop Village, Inc. can be contacted via phone (718) 981-3136, or through Madray, Charles via phone (718) 206-2000.

Contact Information

Primary practice address
1915 Forest Ave Staten Island NY 10303-2127
Phone: (718) 981-3136
Fax: (718) 981-6849
Website:
Map and Directions
Authorized official contact:
Name: Madray, Charles MBA
Phone: (718) 206-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X New York

Profile Details

NPI number 1548381767
LBN Legal business name Samaritan Daytop Village, Inc.
DBA Doing business as Daytop Village, Inc.
Authorized official Madray, Charles MBA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Apr 29th, 2016 - about 8 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 1548381767 NPPES
New York MEDICAID 00659687
New York Other 7002121R

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