Provider Demographics
NPI:1891907523
Name:SAINT FRANICIS HOSPOTAL
Entity Type:Organization
Organization Name:SAINT FRANICIS HOSPOTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR SPECIALIST PT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:WISNIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-485-5087
Mailing Address - Street 1:192 ROOSEVELT ROAD
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538
Mailing Address - Country:US
Mailing Address - Phone:845-233-4269
Mailing Address - Fax:
Practice Address - Street 1:192 ROOSEVELT ROAD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538
Practice Address - Country:US
Practice Address - Phone:845-233-4269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0201191282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital