Healthcare Provider Details
I. General information
NPI: 1134194319
Provider Name (Legal Business Name): ST. JOSEPH'S HOSPITAL & MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2006
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
- Phone: 914-375-3209
- Fax: 631-952-5751
- Phone: 914-375-3209
- Fax: 631-952-5751
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
CURCURUTO
Title or Position: CFO
Credential:
Phone: 914-378-7000