Healthcare Provider Details

I. General information

NPI: 1124136403
Provider Name (Legal Business Name): ST. VINCENT'S MIDTOWN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 04/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W 51ST ST
NEW YORK NY
10019-6301
US

IV. Provider business mailing address

170 W 12TH ST SMITH BUILDING 5
NEW YORK NY
10011-8202
US

V. Phone/Fax

Practice location:
  • Phone: 212-459-8000
  • Fax: 212-459-8127
Mailing address:
  • Phone: 212-604-1732
  • Fax: 516-977-3232

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. JOHN MERTENS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 212-459-8350