institution
Samaritan Village, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in New York, New York
NPI 1548347719

Samaritan Village, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Briarwood, NY and is specialized in Rehabilitation, Substance Use Disorder. Samaritan Village, Inc. practices in New York, NY. The NPI Number for Samaritan Village, Inc. is 1548347719 and holds a License No. 080911571 (New York).

The current practice location address for Samaritan Village, Inc. is 55 West 125Th Street, New York, NY and can be reached out via phone at 212-865-9182 and via fax at 212-662-9193. You can also correspond with Samaritan Village, Inc. through the mailing address at 138-02 QUEENS BLVD, BRIARWOOD, NY - 11435 (mailing address contact number: 718-206-2000).

Location: 55 West 125Th Street, New York, NY, 11435
institution
Provider Profile Details
NPI Number
1548347719
Provider Name
Samaritan Village, Inc.
Credential
Provider Entity Type
Organization
Address
55 West 125Th Street, New York, NY, 11435
Phone Number
212-865-9182
Fax Number
212-662-9193
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02718096 05 NY
080911571 01 NY OASAS LICENSED OUTPATIENT
institution
Provider Business Practice Location Address Details
Address
55 West 125Th Street
City
State
Zip
10027
Phone Number
212-865-9182
Fax Number
212-662-9193
person
Provider Business Mailing Address Details
Address
55 West 125Th Street
City
State
Zip
10027
Phone Number
212-865-9182
Fax Number
212-662-9193
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
080911571 (New York)
Definition
Definition to come...
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