Department of Veterans Affairs

NPI #1194976274 in Malone, New York

Provider Information

NPI Number
1194976274
Entity Type
Organization
Organization Name
Department of Veterans Affairs
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 7, 2008
Last Updated
Oct 7, 2008

Practice Location

Address
3372 STATE ROUTE 11
City
Malone
ZIP Code
12953-4712
Phone
(518) 483-1529

Authorized Official

Name
MRS. JAMIE ELLIS, NPP
Title
ACTING BH IN PRIMARY CARE LEAD
Phone
(518) 626-5404

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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