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SAMARITAN DAYTOP VILLAGE INC. NPI 1093187254


NPI Information

NPI: 1093187254
Provider Name: SAMARITAN DAYTOP VILLAGE, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2778 THIRD AVENUE
BRONX, NY
ZIP 10455
Phone: (718) 292-4640
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SAMARITAN DAYTOP VILLAGE, INC. is a rehabilitation and substance use disorder clinic center in Bronx, NY. SAMARITAN DAYTOP VILLAGE, INC. NPI is 1093187254. The provider is registered as an organization entity type.

The provider's business location address is:

2778 THIRD AVENUE
BRONX, NY
ZIP 10455
Phone: (718) 292-4640

The provider's authorized official is Charles Madray .
The authorized official title is Vp Of Health Services & Comm. Based and has the following contact phone number (718) 206-2000.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 4/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100245309MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.