Organization
DAYTOP VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC MENSAH MSW, MPH (SOCIAL WORKER CONSULTANT)
(718) 523-4242
Entity
Organization
Contact information
Practice address
91-01 MERRICK BOULEVARD, JAMAICA QUEENS, NY 11432-5227
(718) 523-4242
(718) 523-3979
Mailing address
91-01 MERRICK BLVD., JAMAICA QUEENS, NY 11432-5227
(718) 523-4242
(718) 523-3979
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
NY
Enumeration date
04/11/2007
Last updated
08/22/2020
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