Saint Vincent Medical Education and Research Institute
Organization Active NPI Sports Medicine (Family Medicine) Physician · Westfield, NY
NPI 1093801482 · NPPES record last updated Feb 29, 2008
Key facts
- NPI
- 1093801482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- Legal business name
- SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
- Practice address
- 189 E Main St
Westfield, NY 14787-1104 - Phone
- (716) 793-2352
- Fax
- (716) 793-2312
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Patty Ballman
- Title
- Director of Operations
- Phone
- (814) 452-5296
National Provider Directory
- Tax ID family
- Saint Vincent Medical E
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician |
207QS0010X | Yes |
Addresses
Primary practice location
189 E Main St
Westfield, NY 14787-1104
Mailing address
3530 Peach St
Suite LL1
Erie, PA 16508-2768
Phone (814) 860-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01929446 | Medicaid | NY |
Other names
- Westfield Sports Medicine
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All providers in Westfield, NY · Sports Medicine (Family Medicine) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.