Organization · Type 2 NPI

New York Vamc

VA Clinic/Center · Staten Island, NY

NPI number 1487693362 Active

Practice location

1150 South Ave, 3rd Floor-Suite 301
Staten Island, NY 10314-3404

Mailing address

PO Box 94443
Cleveland, OH 44101-4443

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

Another provider at this address

About NPI 1487693362

New York Vamc's National Provider Identifier is 1487693362, issued on Jun 6, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Staten Island, NY. The record was last updated on Jan 10, 2023.