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SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE NPI 1093801482


NPI Information

NPI: 1093801482
Provider Name: SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE

Doing Business As: WESTFIELD SPORTS MEDICINE

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 33D2151907

Address:
189 E MAIN ST
WESTFIELD, NY
ZIP 14787
Phone: (716) 793-2352
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SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE is a sports medicine family medicine in Westfield, NY. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE NPI is 1093801482. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Westfield Sports Medicine.

The provider's business location address is:

189 E MAIN ST
WESTFIELD, NY
ZIP 14787-104
Phone: (716) 793-2352
Fax: (716) 793-2312

The provider's authorized official is Patty Ballman .
The authorized official title is Director Of Operations and has the following contact phone number (814) 452-5296.

The CLIA number assigned to this NPI record is 33D2151907 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 2/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101929446MEDICAIDNEW YORK
2BA0144MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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