MEDICARE: PROJECT SAMARITAN AIDS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255583167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROJECT SAMARITAN AIDS SERVICES

Provider Business Mailing Address
First Line	:	1401 UNIVERSITY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-4050
Country	:	US
Telephone Number	:	718-681-8700
Fax Number	:	718-657-1603

Provider Business Practice Location Address
First Line	:	1401 UNIVERSITY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-4050
Country	:	US
Telephone Number	:	718-681-8700
Fax Number	:	718-657-1603

Authorized Official
Title or Position	:	CHIEF FISCAL OFFICER
Name	:	ALAN ZUCKERMAN
Credential	:
Telephone Number	:	718-687-8700

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	10/22/2008

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Directions to “PROJECT SAMARITAN AIDS SERVICES ” Practice Location

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