SAMARITAN DAYTOP VILLAGE INC. NPI 1154795235

NPI Information

NPI: 1154795235
Provider Name: SAMARITAN DAYTOP VILLAGE, INC.

Former Legal Business Name: SAMARITAN VILLAGE INC.

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
250 GRAND CONCOURSE
BRONX, NY
ZIP 10451
Phone: (718) 292-2240
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SAMARITAN DAYTOP VILLAGE, INC. is a multi-specialty clinic center in Bronx, NY. SAMARITAN DAYTOP VILLAGE, INC. NPI is 1154795235. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Samaritan Village Inc..

The provider's business location address is:

250 GRAND CONCOURSE
BRONX, NY
ZIP 10451-430
Phone: (718) 292-2240

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

The enumeration date for this NPI number is 11/30/2015 and was last updated on 4/15/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000245309	MEDICAID	NEW 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

NPI Synchronization or Removal

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