Healthcare Provider Details

I. General information

NPI: 1346213469
Provider Name (Legal Business Name): GOOD SAMARITAN HOSPITAL OF SUFFERN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 LAFAYETTE AVE
SUFFERN NY
10901-4846
US

IV. Provider business mailing address

255 LAFAYETTE AVE
SUFFERN NY
10901-4846
US

V. Phone/Fax

Practice location:
  • Phone: 845-368-5000
  • Fax: 845-368-5430
Mailing address:
  • Phone: 845-368-5000
  • Fax: 845-368-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. MARIO DIFIGLIA
Title or Position: VICE PRESIDENT
Credential:
Phone: 914-493-7909