| Samaritan Daytop Health | |
|
362 E 148th St Bronx NY 10455-4005 | |
| (347) 840-0855 | |
| Not Available |
| Full Name | Samaritan Daytop Health |
|---|---|
| Speciality | Family Medicine |
| Location | 362 E 148th St, Bronx, New York |
| Authorized Official Name and Position | Alicia Ann Mcfarlane (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 3478400855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Daytop Health 362 E 148th St Bronx NY 10455-4005 Ph: (347) 840-0855 | Samaritan Daytop Health 362 E 148th St Bronx NY 10455-4005 Ph: (347) 840-0855 |
| NPI Number | 1518641752 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 08/08/2025 |
| Medicare PECOS PAC ID | 0547708521 |
|---|---|
| Medicare Enrollment ID | O20240821004027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518641752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrea Littleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144305251 PECOS PAC ID: 1456339969 Enrollment ID: I20040712000340 |
| Provider Name | Gregory Charles Bunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063420057 PECOS PAC ID: 0244246924 Enrollment ID: I20060306000148 |
| Provider Name | Gloria Mtomboti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235124496 PECOS PAC ID: 9830381805 Enrollment ID: I20101008000367 |
| Provider Name | Apollo Palomares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750691457 PECOS PAC ID: 5294038337 Enrollment ID: I20160122000982 |
| Provider Name | Ivette Taveras Ozoria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205206562 PECOS PAC ID: 0941505655 Enrollment ID: I20160217002220 |
| Provider Name | Tanya Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528296068 PECOS PAC ID: 0244504280 Enrollment ID: I20170914002728 |
| Provider Name | Carol Ann Slattery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619258324 PECOS PAC ID: 8426384447 Enrollment ID: I20190730000904 |
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