NPI 1053390534

St Vincent de Paul Residence

Organisation Skilled Nursing Facility Bronx, NY

Practice location

Address: 900 Intervale Avenue, Bronx, NY 10459
Phone: (917) 645-9201
Fax: (718) 589-7010
Mailing address: 900 Intervale Ave, Bronx, NY 10459-4240

Authorised official

Name: Annmarie Covone
Title: Srvp Cfo
Phone: (646) 633-4702

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 7000366N (NY)

Other Skilled Nursing Facility providers in New York →

Registry record

NPI: 1053390534
Entity type: Organization
NPI issued: 12 Jan 2006
Record last updated: 21 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.