| St.vincent Services Springfield | |
|
16737 145th Ave Jamaica NY 11434-5106 | |
| (718) 522-3700 | |
| Not Available |
| Full Name | St.vincent Services Springfield |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16737 145th Ave, Jamaica, New York |
| Authorized Official Name and Position | Jeffrey Benenati (MANAGING DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7184222204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St.vincent Services Springfield 16737 145th Ave Jamaica NY 11434-5106 Ph: (718) 522-3700 | St.vincent Services Springfield 16737 145th Ave Jamaica NY 11434-5106 Ph: (718) 522-3700 |
| NPI Number | 1225284631 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225284631 | NPI | - | NPPES |
| 02958510 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 02958510 (New York) | Primary |
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