- Practice location
- 119 W 160TH St, Ny, NY 10025
- Phone
- 718-206-2000
- Fax
- 718-206-4055
- Last updated
- January 27, 2017
Samaritan Daytop Village is a healthcare organization based in Ny, NY. Samaritan Daytop Village practices in Ny, NY. The NPI Number for Samaritan Daytop Village is 1053858100 and holds a License No. 161211828 (NY). The current practice location address for Samaritan Daytop Village is 119 W 160TH St, Ny, NY 10025 and can be reached out via phone at 718-206-2000 and via fax at 718-206-4055.
Provider Profile Details
- NPI Number
- 1053858100
- Provider Name
- Samaritan Daytop Village
- Provider Entity Type
- Organization
- Address
- 119 W 160TH St, Ny, NY 10025
- Phone Number
- 718-206-2000
- Fax Number
- 718-206-4055
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- James Hollywood, LCSW · Vp, Residential Treatment · 718-206-2000
- Provider Enumeration Date
- January 27, 2017
- Last Update Date
- January 27, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 W 160TH St
Ny, NY 10025 - City
- Ny
- State
- New York
- Zip
- 10025
- Phone Number
- 718-206-2000
- Fax Number
- 718-206-4055
Provider Business Mailing Address Details
- Address
- 13802 Queens Blvd
Briarwood, NY 11435-2642 - City
- Briarwood
- State
- NY
- Zip
- 11435-2642
- Phone Number
- 718-206-2000
- Fax Number
- 718-206-4055
License Information
- License Number
- 161211828
- License State
- NY
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samaritan Daytop Village?
The NPI number of Samaritan Daytop Village is 1053858100. It was assigned on January 27, 2017 and is currently active in the NPPES registry.
What is the specialty of Samaritan Daytop Village?
Samaritan Daytop Village is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in NY under license number 161211828.
Where does Samaritan Daytop Village practice?
The practice location is 119 W 160TH St, Ny, NY 10025. The office can be reached at 718-206-2000 (phone) or 718-206-4055 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053858100 directly on the NPPES registry website.