State University of New York College at Brockport

NPI #1033465539 in Brockport, New York

Provider Information

NPI Number
1033465539
Entity Type
Organization
Organization Name
State University of New York College at Brockport
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Aug 2, 2012
Last Updated
Aug 2, 2012

Practice Location

Address
350 NEW CAMPUS DR
Address 2
HAZEN HALL
ZIP Code
14420-2997
Phone
(585) 395-2414

Authorized Official

Name
MS. WENDY L VERGAMINI
Title
ASSISTANT DIRECTOR
Phone
(585) 395-5144

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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