Vamcnorthport

NPI #1386652410 in Northport, New York

Provider Information

NPI Number: 1386652410
Entity Type: Organization
Organization Name: Vamcnorthport
Primary Specialty: Specialist
Enumeration Date: Aug 4, 2006
Last Updated: May 20, 2022

Practice Location

Address: 79 MIDDLEVILLE RD
City: Northport
State: New York
ZIP Code: 11768-2200
Phone: (631) 261-4400

Authorized Official

Name: MR. JEFFREY WERLICK
Title: RECREATION THERAPIST
Phone: (631) 261-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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