# SAMARITAN DAYTOP VILLAGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245272772
- **Authorized official:** CHARLES MADRAY (VP OF HEALTH SERVICES & COMM BASED)
- **Authorized official phone:** (718) 206-2000

## Contact information

- **Practice address:** 368 E 148TH ST, BRONX, NY 10455-4005
- **Practice address phone:** (718) 402-2614
- **Practice address fax:** (718) 402-5017
- **Mailing address:** 138-02 QUEENS BLVD, BRIARWOOD, NY 11435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 132690403 | NY | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 04/14/2016