Va Medical Center

NPI #1073698858 in Northport, New York

Provider Information

NPI Number
1073698858
Entity Type
Organization
Organization Name
Va Medical Center
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Oct 27, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
VA MEDICAL CENTER
Address 2
79 MIDDLEVILLE RD - CARDIOLOGY 111
ZIP Code
11768
Phone
(631) 261-4400

Authorized Official

Name
MR. STEFAN MILLER, P.A.
Title
PHYSICIAN ASSISTANT
Phone
(631) 261-4400

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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