Provider Demographics
NPI:1912057498
Name:SAINT VINCENT'S COMPREHESIVE CANCER CENTER
Entity Type:Organization
Organization Name:SAINT VINCENT'S COMPREHESIVE CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BREAST SURGEON
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:MAYKO
Authorized Official - Last Name:MONCRIEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-604-6006
Mailing Address - Street 1:325 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5903
Mailing Address - Country:US
Mailing Address - Phone:212-604-6006
Mailing Address - Fax:212-604-6002
Practice Address - Street 1:SAINT VINCEN'T COMPREHENSIVE BREAST CENTER
Practice Address - Street 2:325 W. 15TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-604-6006
Practice Address - Fax:212-604-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237456-1284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital