Northport Vamc

NPI #1508264151 in Northport, New York

Provider Information

NPI Number: 1508264151
Entity Type: Organization
Organization Name: Northport Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Dec 15, 2014
Last Updated: Jan 10, 2023

Practice Location

Address: 79 MIDDLEVILLE RD
City: Northport
State: New York
ZIP Code: 11768-2200
Phone: (717) 277-6565

Authorized Official

Name: ERIN POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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