Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Other names
Project Samaritan Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHUE CPA (CHIEF FINANCIAL OFFICER)
(718) 657-1100
Entity
Organization
Contact information
Practice address
89-56 162ND STREET, JAMAICA, NY 11432
(347) 505-7000
(347) 505-2500
Mailing address
138-02 QUEENS BOULEVARD, 2ND FLOOR, BRIARWOOD, NY 11435
(718) 657-1100
(718) 657-1870
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
7003246R
NY
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01690633
—
NY
Enumeration date
12/19/2011
Last updated
12/02/2016
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