# SAINT VINCENT MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Vincent OB/GYN Faculty Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659309292
- **Authorized official:** DR. JOHN P KOULOS M.D. (DIRECTOR)
- **Authorized official phone:** (212) 604-2070

## Contact information

- **Practice address:** 153 W 11TH ST, NEW YORK, NY 10011-8305
- **Practice address phone:** (212) 604-2070
- **Practice address fax:** (212) 563-0605
- **Mailing address:** 29 WEST 34H STREET, 4TH FLOOR, NEW YORK, NY 10001
- **Mailing address phone:** (212) 563-2497
- **Mailing address fax:** (212) 563-0605

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 08/22/2020