Provider Demographics
NPI:1952346223
Name:SAINT VINCENT CATHOLIC MEDICAL CENTER
Entity Type:Organization
Organization Name:SAINT VINCENT CATHOLIC MEDICAL CENTER
Other - Org Name:
Other - Org Type:
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 1:153 W 11TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8305
Practice Address - Country:US
Practice Address - Phone:212-604-7000
Practice Address - Fax:212-356-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002037H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY135562343350002OtherHEALTH FIRST OP
NY135562343352946OtherHEALTH FIRST IP
NY330290OtherLOCAL 1199
NYIC0011OtherHEALTH NET
NY00860-8OtherBLUE CROSS - HIV
NY330290OtherHORIZON BLUE CROSS
NY5087OtherGHI HMO
NY0009173OtherAETNA/US HEALTHCARE
NY00243229Medicaid
NY90431OtherELDER PLAN
NYH04217OtherOXFORD
NY0000-40OtherBLUE CROSS
NY040401001446OtherFIDELIS
NY10000000914OtherAFFINITY
NY00243229Medicaid