Healthcare Provider Details

I. General information

NPI: 1336295740
Provider Name (Legal Business Name): ST. VINCENT'S SPECIAL NEEDS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MERRITT BLVD
TRUMBULL CT
06611-5435
US

IV. Provider business mailing address

95 MERRITT BLVD
TRUMBULL CT
06611-5435
US

V. Phone/Fax

Practice location:
  • Phone: 203-380-1190
  • Fax:
Mailing address:
  • Phone: 203-380-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000069
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. BARRY BUXBAUM
Title or Position: PRESIDENT CEO
Credential:
Phone: 203-375-6400