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Organization

ST. VINCENT'S SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDE ALEXANDRE (VP OF INTEGRATED HEALTH SERVICES)
(718) 422-2357
Entity
Organization

Contact information

Practice address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 422-2307
(718) 422-2271
Mailing address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 422-2307
(718) 422-2271

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
NY
253J00000X
Foster Care Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00272679
NY
05
02993433
NY
01
A100102752
MEDICARE PTAN
Enumeration date
07/13/2007
Last updated
12/10/2025
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