Healthcare Provider Details

I. General information

NPI: 1083689657
Provider Name (Legal Business Name): ST. JOSEPH'S HOSPITAL & MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S BROADWAY
YONKERS NY
10701-4006
US

IV. Provider business mailing address

127 S BROADWAY
YONKERS NY
10701-4006
US

V. Phone/Fax

Practice location:
  • Phone: 914-375-3209
  • Fax: 631-952-5751
Mailing address:
  • Phone: 914-375-3209
  • Fax: 631-952-5751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES CURCURUTO
Title or Position: CFO
Credential:
Phone: 914-378-7000