# ST VINCENTS CATHOLIC MEDICAL CENTER OB-GYN DEPT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SVCMC OB-GYN Dept
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053454702
- **Authorized official:** MR. ROBERT REN (DIRECTOR)
- **Authorized official phone:** (212) 356-4458

## Contact information

- **Practice address:** 170 W 12TH ST, NEW YORK, NY 10011-8202
- **Practice address phone:** (212) 356-4458
- **Practice address fax:** (212) 356-4608
- **Mailing address:** 450 W 33RD ST, 12TH FL PBS DEPT, NEW YORK, NY 10001-2603
- **Mailing address phone:** (212) 356-4458
- **Mailing address fax:** (212) 356-4608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NY | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 10/27/2008