Organization
ST VINCENT SERVICES
Active
Parent organization
ST.VINCENT SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.VINCENT SERVICES INC
Authorized official
JEFFREY BENENATI (CONTROLLER)
(718) 422-2204
Entity
Organization
Contact information
Practice address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 522-3700
(718) 488-7618
Mailing address
415 DEGRAW ST, BROOKLYN, NY 11217-2903
(718) 522-3700
(718) 488-7618
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00594541
—
NY
Enumeration date
03/28/2008
Last updated
07/21/2022
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