Organization
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Active
Other names
Westfield Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY BALLMAN (DIRECTOR OF OPERATIONS)
(814) 452-5296
Entity
Organization
Contact information
Practice address
189 E MAIN ST, WESTFIELD, NY 14787-1104
(716) 793-2352
(716) 793-2312
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5000
(814) 860-5050
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01929446
—
NY
Enumeration date
10/05/2006
Last updated
02/29/2008
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