Provider Demographics
NPI:1326307802
Name:ST. VINCENT'S HEALTH SERVICES
Entity Type:Organization
Organization Name:ST. VINCENT'S HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENCY PROGRAM DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-576-5576
Mailing Address - Street 1:9 ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1301
Mailing Address - Country:US
Mailing Address - Phone:845-642-8345
Mailing Address - Fax:
Practice Address - Street 1:9 ABERDEEN DR
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-1301
Practice Address - Country:US
Practice Address - Phone:845-642-8345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital