| Project Samaritan Health Services | |
|
751 Briggs Highway Ellenville NY 12428 | |
| (718) 538-7000 | |
| (718) 538-2805 |
| Full Name | Project Samaritan Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 751 Briggs Highway, Ellenville, New York |
| Authorized Official Name and Position | John Chue (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7186571100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Samaritan Health Services 138-02 Queens Boulevard, 2nd Floor Briarwood NY 11435 Ph: (718) 657-1100 | Project Samaritan Health Services 751 Briggs Highway Ellenville NY 12428 Ph: (718) 538-7000 |
| NPI Number | 1447332697 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 10/17/2016 |
| Medicare PECOS PAC ID | 6507849882 |
|---|---|
| Medicare Enrollment ID | O20140106000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447332697 | NPI | - | NPPES |
| 01690633 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 7003246R (New York) | Secondary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (New York) | Primary |
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