Organization
ST VINCENTS TRAUMA AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA M DE LA ROSA LCSW (SOCIAL WORKER)
(212) 346-2582
Entity
Organization
Contact information
Practice address
170 BROADWAY, SUITE 1208, NEW YORK, NY 10038-4154
(212) 346-2582
Mailing address
170 BROADWAY, ST VINCENTS TRAUMA AND WELLNESS CENTER SUITE 1208, NEW YORK, NY 10038
(212) 346-2582
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
072031
NY
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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