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General NPI Number Information
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NPI Number | 1003015694
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Entity Type | Organization
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Legal Business Name | ST. VINCENT'S SERVICES, INC.
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 66 BOERUM PL
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City | BROOKLYN
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State | NY
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Zip | 11201-5705
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Country | US
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Telephone | 718-422-2307
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Fax | 718-422-2271
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Provider Business Mailing Address
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Address Line | 66 BOERUM PL
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City | BROOKLYN
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State | NY
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Zip | 11201-5705
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Country | US
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Telephone | 718-422-2307
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Fax | 718-422-2271
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Authorized Official
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Title or Position | VP OF INTEGRATED HEALTH SERVICES
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Name | JUDE ALEXANDRE
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Credential |
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Telephone | 718-422-2357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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