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NPI Code Detail

MEDICARE: DAYTOP VILLAGE, INC.

MEDICARE: DAYTOP VILLAGE, INC.
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
1324500000XSubstance Abuse Rehabilitation Facility275488-1NY

General Provider Information

NPI Number : 1649419185
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYTOP VILLAGE, INC.
Provider Business Mailing Address
First Line : 270 FOX CROFT VLG
Second Line :
City : LOCH SHELDRAKE
State : NY
Zip : 12759-5412
Country : US
Telephone Number : 845-693-4897
Fax Number :
Provider Business Practice Location Address
First Line : 270 FOX CROFT VLG
Second Line :
City : LOCH SHELDRAKE
State : NY
Zip : 12759-5412
Country : US
Telephone Number : 845-693-4897
Fax Number :
Authorized Official
Title or Position : L.P.N.
Name : MRS. CARMELITA R. FIGUEROA
Credential : L.P.N.
Telephone Number : 845-693-4897
Provider Enumeration Date : 02/06/2009
Last Update Date : 02/06/2009

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