SAINT VINCENT CATHOLIC MEDICAL CENTER NPI 1356675961

NPI Information

SAINT VINCENT CATHOLIC MEDICAL CENTER is a primary care clinic center in Staten Island, NY. SAINT VINCENT CATHOLIC MEDICAL CENTER NPI is 1356675961. The provider is registered as an organization entity type.
The provider Other Name Is Ft. Wadsworth Family Health Center.

The provider's business location address is:

206 DRUM RD
STATEN ISLAND, NY
ZIP 10305-079
Phone: (718) 442-4158
Fax: (718) 447-1325

The provider's authorized official is John Burkhart .
The authorized official title is Vp & Medical Director and has the following contact phone number (212) 356-4903.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 9/29/2009.

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:

Other Identifiers

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

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