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Organization
ST VINCENTS PEDIATRIC DEPT
Active
Organization
ST VINCENTS PEDIATRIC DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE JURY (DIRECTOR)
(212) 356-5922
Entity
Organization
Contact information
Practice address
170 W 12TH ST, SMITH 5, NEW YORK, NY 10011-8202
(212) 604-7878
(212) 356-4608
Mailing address
450 W 33RD ST, PBS 12TH FL, NEW YORK, NY 10001-2603
(212) 356-4765
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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