Va Hospital Northport

NPI #1568668887 in Northport, New York

Provider Information

NPI Number: 1568668887
Entity Type: Organization
Organization Name: Va Hospital Northport
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 24, 2007
Last Updated: Jun 27, 2011

Practice Location

Address: 79 MIDDLEVILLE RD
City: Northport
State: New York
ZIP Code: 11768-2200
Phone: (631) 261-6074

Authorized Official

Name: DR. JEFFREY M BARR
Title: RESIDENT
Phone: (585) 703-5240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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