Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Other names
Project Samaritan Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHUE CPA (CHIEF FINANCIAL OFFICER)
(718) 657-1100
Entity
Organization
Contact information
Practice address
500 8TH AVENUE, 3RD FLOOR, NEW YORK, NY 10018
(212) 904-1721
(212) 904-1444
Mailing address
138-02 QUEENS BOULEVARD, 2ND FLOOR, BRIARWOOD, NY 11435
(718) 657-1100
(718) 657-1870
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
261QF0400X
Federally Qualified Health Center (FQHC)
7003246R
NY
Other
Enumeration date
05/28/2015
Last updated
12/02/2016
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