Organization · Type 2 NPI
Montrose Vamc
VA Clinic/Center · Port Jervis, NY
NPI number
1104863760
Active
Practice location
100 Pike St
Port Jervis, NY 12771-1831
Mailing address
PO Box 94442
Cleveland, OH 44101-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
Another provider at this address
About NPI 1104863760
Montrose Vamc's National Provider Identifier is 1104863760, issued on Jun 1, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Port Jervis, NY. The record was last updated on Jan 10, 2023.