NPI: 1548381767
Provider Name: SAMARITAN DAYTOP VILLAGE, INC.
Former Legal Business Name: DAYTOP VILLAGE, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1915 FOREST AVE
STATEN ISLAND, NY
ZIP 10303
Phone: (718) 981-3136
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SAMARITAN DAYTOP VILLAGE, INC. is a rehabilitation and substance use disorder clinic center in Staten Island, NY. SAMARITAN DAYTOP VILLAGE, INC. NPI is 1548381767. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Daytop Village, Inc..
The provider's business location address is:
1915 FOREST AVE
STATEN ISLAND, NY
ZIP 10303-127
Phone: (718) 981-3136
Fax: (718) 981-6849
The provider's authorized official is Charles Madray .
The authorized official title is Vp Of Health Services & Community B and has the following contact phone number (718) 206-2000.
The enumeration date for this NPI number is 4/3/2007 and was last updated on 4/29/2016.