Organization
SAINT VINCENT CATHOLIC MEDICAL CENTER
Active
Other names
Ft. Wadsworth Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BURKHART MD (VP & MEDICAL DIRECTOR)
(212) 356-4903
Entity
Organization
Contact information
Practice address
206 DRUM RD, STATEN ISLAND, NY 10305-5079
(718) 442-4158
(718) 447-1325
Mailing address
450 W 33RD ST, NEW YORK, NY 10001-2603
(212) 356-4419
(212) 356-4433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
7002037H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243229
—
NY
Enumeration date
09/29/2009
Last updated
09/29/2009
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