Organization
SAMARITAN DAYTOP VILLAGE, INC.
Active
Other names
Samaritan Village Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MADRAY MBA (VICE PRESIDENT OF HEALTH SERVICES &)
(718) 206-2000
Entity
Organization
Contact information
Practice address
250 GRAND CONCOURSE, BRONX, NY 10451-5430
(718) 292-2240
Mailing address
13802 QUEENS BLVD, BRIARWOOD, NY 11435-2642
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000245309
—
NY
Enumeration date
11/30/2015
Last updated
04/15/2016
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