Organization
ST.VINCENT SERVICES SPRINGFIELD
Active
Parent organization
ST.VINCENT SERVICES SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.VINCENT SERVICES SERVICES
Authorized official
JEFFREY BENENATI (MANAGING DIRECTOR OF FINANCE)
(718) 422-2204
Entity
Organization
Contact information
Practice address
16737 145TH AVE, JAMAICA, NY 11434-5106
(718) 522-3700
Mailing address
16737 145TH AVE, JAMAICA, NY 11434-5106
(718) 522-3700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
02958510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02958510
—
NY
Enumeration date
08/18/2008
Last updated
08/18/2008
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