| Samaritan Daytop Health | |
|
362 E 148th St Bronx NY 10455-4005 | |
| (347) 840-0855 | |
| Not Available |
| Full Name | Samaritan Daytop Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 362 E 148th St, Bronx, New York |
| Authorized Official Name and Position | Alicia Ann Mcfarlane (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 3478400855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Daytop Health 362 E 148th St Bronx NY 10455-4005 Ph: (347) 840-0855 | Samaritan Daytop Health 362 E 148th St Bronx NY 10455-4005 Ph: (347) 840-0855 |
| NPI Number | 1518641752 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 0547708521 |
|---|---|
| Medicare Enrollment ID | O20240821004027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518641752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Andrea Littleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144305251 PECOS PAC ID: 1456339969 Enrollment ID: I20040712000340 |
| Provider Name | Gregory Charles Bunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063420057 PECOS PAC ID: 0244246924 Enrollment ID: I20060306000148 |
| Provider Name | Gloria Mtomboti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235124496 PECOS PAC ID: 9830381805 Enrollment ID: I20101008000367 |
| Provider Name | Tanya Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528296068 PECOS PAC ID: 0244504280 Enrollment ID: I20170914002728 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |