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General NPI Number Information
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NPI Number | 1790010817
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Entity Type | Organization
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Legal Business Name | SAINT VINCENTS CATHOLIC MEDICAL CENTERS OF NEW YORK
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | WEST ROAD BUILDING 19
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-222-0228
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Fax | 516-745-1519
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Provider Business Mailing Address
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Address Line | 5 PENN PLZ FL 9
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City | NEW YORK
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State | NY
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Zip | 10001-1851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | STEVE KORF
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Credential |
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Telephone | 212-356-5962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 7002037H
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License Number State | NY
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