Organization
SAMARITAN DAYTOP VILLAGE, INC.
Active
Other names
Samaritan Village
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MADRAY MBA (VP OF HEALTH SERVICES & COMMUNITY B)
(718) 206-2000
Entity
Organization
Contact information
Practice address
55 W 125TH ST, 10TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Mailing address
55 W 125TH ST, 10TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00245309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139682283
—
NY
Enumeration date
08/22/2014
Last updated
04/29/2016
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