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Organization
SAINT VINCENT MEDICAL CENTER
Active
Organization
SAINT VINCENT MEDICAL CENTER
Active
Other names
St. Vincent OB/GYN Faculty Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P KOULOS M.D. (DIRECTOR)
(212) 604-2070
Entity
Organization
Contact information
Practice address
153 W 11TH ST, NEW YORK, NY 10011-8305
(212) 604-2070
(212) 563-0605
Mailing address
29 WEST 34H STREET, 4TH FLOOR, NEW YORK, NY 10001
(212) 563-2497
(212) 563-0605
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
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