Provider Demographics
NPI:1932322047
Name:SAINT VINCENT CATHOLIC MEDICAL CENTER
Entity Type:Organization
Organization Name:SAINT VINCENT CATHOLIC MEDICAL CENTER
Other - Org Name:ST. VINCENT'S HOSPITAL WESTCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DOLLYANN
Authorized Official - Middle Name:L
Authorized Official - Last Name:YORKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-356-4419
Mailing Address - Street 1:450 W 33RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2603
Mailing Address - Country:US
Mailing Address - Phone:212-356-4419
Mailing Address - Fax:212-356-4439
Practice Address - Street 1:275 NORTH STREET
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1524
Practice Address - Country:US
Practice Address - Phone:914-925-5434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT VINCENT CATHOLIC MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-10
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002037333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3355294OtherNAPB
NY00243229Medicaid
NY330290Medicare Oscar/Certification