Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Other names
Project Samaritan Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
KAVANAUGH CHANDLER MD (PRESIDENT & CEO)
(718) 657-1100
Entity
Organization
Contact information
Practice address
89-56 162ND STREET, JAMAICA, NY 11432
(347) 505-7000
(347) 505-2500
Mailing address
8956 162ND ST FL 3, JAMAICA, NY 11432-5072
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01690633
—
NY
Enumeration date
12/19/2011
Last updated
06/11/2026
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