Healthcare Provider Details

I. General information

NPI: 1790908929
Provider Name (Legal Business Name): DAYTOP VILLAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 FOX HOLLOW RD
RHINEBECK NY
12572
US

IV. Provider business mailing address

54 W 40TH ST
NEW YORK NY
10018-2602
US

V. Phone/Fax

Practice location:
  • Phone: 845-876-5400
  • Fax: 845-876-5824
Mailing address:
  • Phone: 212-354-6000
  • Fax: 212-382-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number StateNY

VIII. Authorized Official

Name: STEVEN WINSTON
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 212-354-6000