National Provider Identifier Database

ST VINCENT SERVICES
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

ST VINCENT SERVICES
66 BOERUM PL
BROOKLYN, NY11201-5705
Phone: 718-522-3700
Fax: 718-488-7618
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for ST VINCENT SERVICES

NPI Number 1255503421
Legal business name
LBN
ST VINCENT SERVICES
Authorized official JEFFREY BENENATI - (CONTROLLER)
Entity Organization
Organization subpart Yes
Enumeration date 03/28/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 00594541

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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