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Organization
ST VINCENT PSYCHIATRIC ASSOCIATES
Active
Organization
ST VINCENT PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB REN (PBS DIRECTOR)
(212) 356-4458
Entity
Organization
Contact information
Practice address
170 W 12TH ST, NEW YORK, NY 10011-8202
(212) 356-4765
(212) 356-4608
Mailing address
450 W 33RD ST, PBS 12TH FLOOR, NEW YORK, NY 10001-2603
(212) 356-4765
(212) 356-4608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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