Healthcare Provider Details

I. General information

NPI: 1144287426
Provider Name (Legal Business Name): MT VERNON HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 NORTH 7TH AVE
MT VERNON NY
10550
US

IV. Provider business mailing address

12 NORTH 7TH AVE
MT VERNON NY
10550
US

V. Phone/Fax

Practice location:
  • Phone: 914-664-8000
  • Fax: 914-664-1877
Mailing address:
  • Phone: 914-664-8000
  • Fax: 914-664-1877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS DALY
Title or Position: SR VP CFO
Credential:
Phone: 914-637-1505