Healthcare Provider Details
I. General information
NPI: 1194035709
Provider Name (Legal Business Name): ST.VINCENT'S HOSPITAL WESTCHESTER A DIVISION OF SAINT JOSEPH'S MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/15/2010
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
275 NORTH ST
HARRISON NY
10528-1524
US
IV. Provider business mailing address
275 NORTH ST
HARRISON NY
10528-1140
US
V. Phone/Fax
- Phone: 914-967-6500
- Fax:
- Phone: 914-967-6500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273R00000X |
| Taxonomy | Psychiatric Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIM
PAGAN
Title or Position: V.P. FINANCE
Credential:
Phone: 914-925-5333