Basic Information
| Provider Information | |||||||||
| NPI: | 1235468885 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ST. VINCENT'S CATHOLIC MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 BANK ST APT 4W | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100145263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453047575 | ||||||||
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| Practice Location | |||||||||
| Address1: | 170 W 12TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100118202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453047575 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2009 | ||||||||
| LastUpdateDate: | 12/10/2009 | ||||||||
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| AuthorizedOfficialLastName: | REN | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF PATIENT FINANCES | ||||||||
| AuthorizedOfficialTelephone: | 2123564458 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 013481 | NY | Y | Hospitals | General Acute Care Hospital |
No ID Information.