Provider Demographics
NPI:1053628149
Name:ST.VINCENT MEDICAL CENTER
Entity type:Organization
Organization Name:ST.VINCENT MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ULTRASOUND TECHNOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CERBONE
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:203-576-6386
Mailing Address - Street 1:19 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4941
Mailing Address - Country:US
Mailing Address - Phone:203-205-0659
Mailing Address - Fax:
Practice Address - Street 1:19 CEDAR ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811
Practice Address - Country:US
Practice Address - Phone:203-205-0659
Practice Address - Fax:203-205-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital