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
1	313M00000X	Nursing Facility/Intermediate Care Facility	275488-1	NY

General Provider Information

NPI Number	:	1790832376
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	:	845-693-4125
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 W 40TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-2602
Country	:	US
Telephone Number	:	845-292-3296
Fax Number	:

Authorized Official
Title or Position	:	L.P.N.
Name	:	MRS. CAREMLITA R FIGUEROA
Credential	:	L.P.N.
Telephone Number	:	845-292-3296

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/22/2020

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Directions to “DAYTOP VILLAGE INC. ” Practice Location

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