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Organization
SVCMC PHYSICIAN SERVICES
Active
Organization
SVCMC PHYSICIAN SERVICES
Active
Parent organization
ST VINCENT'S HOSP MEDICAL CENTER OF NY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST VINCENT'S HOSP MEDICAL CENTER OF NY
Authorized official
ROBERT MARIANI (SENIOR VP OF FINANCE)
(212) 356-4405
Entity
Organization
Contact information
Practice address
170 W 12TH ST, SUITE 5, NEW YORK, NY 10011-8202
(212) 356-4400
(212) 356-4450
Mailing address
450 W 33RD ST, PBS 12TH FL, NEW YORK, NY 10001-2603
(212) 356-4400
(212) 356-4450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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