# SAMARITAN DAYTOP VILLAGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Village Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154795235
- **Authorized official:** MR. CHARLES MADRAY MBA (VICE PRESIDENT OF HEALTH SERVICES &)
- **Authorized official phone:** (718) 206-2000

## Contact information

- **Practice address:** 250 GRAND CONCOURSE, BRONX, NY 10451-5430
- **Practice address phone:** (718) 292-2240
- **Mailing address:** 13802 QUEENS BLVD, BRIARWOOD, NY 11435-2642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2015
- **Last updated:** 04/15/2016