Healthcare Provider Details

I. General information

NPI: 1013902303
Provider Name (Legal Business Name): SISTERS OF CHARITY HEALTH CARE SYSTEMS NH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 VANDERBILT AVE
STATEN ISLAND NY
10304-2604
US

IV. Provider business mailing address

155 VANDERBILT AVE
STATEN ISLAND NY
10304-2604
US

V. Phone/Fax

Practice location:
  • Phone: 718-876-1355
  • Fax: 718-876-4426
Mailing address:
  • Phone: 718-876-1355
  • Fax: 718-876-4426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNY

VIII. Authorized Official

Name: MS. PATRICIA MCGRANN
Title or Position: ADMINISTRATOR
Credential: LNHA
Phone: 718-876-2494