Organization · Type 2 NPI

Damian Family Care Centers, Inc.

Federally Qualified Health Center (FQHC) · Lake Ronkonkoma, NY

NPI number 1265970834 Active

Practice location

161 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3182

Call (631) 306-5895 Map

Fax (718) 657-1870

Mailing address

8956 162nd St Fl 3
Jamaica, NY 11432-5072

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	7003246R (NY)

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

NPI record

NPI: 1265970834
Entity type: Organization (Type 2)
Issued: Feb 3, 2017
Last updated: Jun 11, 2026
Status: Active
Subpart: Yes of Damian Family Care Centers, Inc.

Other names

<unavail>
Project Samaritan Health Services · doing business as
Project Samaritan Health Services · doing business as

Authorized official

Mr. Kavanaugh Chandler, MD
President/ CEO
(718) 657-1100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1265970834

Damian Family Care Centers, Inc.'s National Provider Identifier is 1265970834, issued on Feb 3, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Jun 11, 2026.