Northport Vamc
Clinic/Center, VA in Northport, NY. Organization (NPI-2).
NPI number1508264151
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1508264151
- Entity type
- Organization (NPI-2)
- Legal business name
- Northport Vamc
- Organization subpart
- No
- Enumeration date
- Dec 15, 2014
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Northport 1 Va Mobile Oos (Other Name)
Practice location
79 Middleville RdNorthport, NY 11768-2200
Phone 717-277-6565
Mailing address
Po Box 94445Cleveland, OH 44101-4445
Phone 717-277-6565
Authorized official
Erin Potter
Npi Team Member
2023822579
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