MEDICARE: SAINT VINCENT CATHOLIC MEDICAL CENTER

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	282N00000X	General Acute Care Hospital	7002037H	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	135562343350002	OTHER	NY	HEALTH FIRST OP
2	135562343352946	OTHER	NY	HEALTH FIRST IP
3	330290	OTHER	NY	LOCAL 1199
4	IC0011	OTHER	NY	HEALTH NET
5	00860-8	OTHER	NY	BLUE CROSS - HIV
6	330290	OTHER	NY	HORIZON BLUE CROSS
7	5087	OTHER	NY	GHI HMO
8	0009173	OTHER	NY	AETNA/US HEALTHCARE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	90431	OTHER	NY	ELDER PLAN
11	H04217	OTHER	NY	OXFORD
12	0000-40	OTHER	NY	BLUE CROSS
13	040401001446	OTHER	NY	FIDELIS
14	10000000914	OTHER	NY	AFFINITY

General Provider Information

NPI Number	:	1952346223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT VINCENT CATHOLIC MEDICAL CENTER

Provider Business Mailing Address
First Line	:	450 W 33RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-2603
Country	:	US
Telephone Number	:	212-356-4419
Fax Number	:	212-356-4439

Provider Business Practice Location Address
First Line	:	153 W 11TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-8305
Country	:	US
Telephone Number	:	212-604-7000
Fax Number	:	212-356-4439

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MS. DOLLYANN L YORKE
Credential	:
Telephone Number	:	212-356-4419

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	07/09/2008

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Directions to “SAINT VINCENT CATHOLIC MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

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