Department of Veterans Affairs

NPI #1649436502 in Brecksville, Ohio

Provider Information

NPI Number
1649436502
Entity Type
Organization
Organization Name
Department of Veterans Affairs
Primary Specialty
Special Hospital
Enumeration Date
Jul 31, 2008
Last Updated
Jul 31, 2008

Practice Location

Address
10000 BRECKSVILLE RD
State
Ohio
ZIP Code
44141-3204
Phone
(440) 526-3030

Authorized Official

Name
DR. PAUL ERIC KONICKI, MD
Title
CHIEF OF PSYCHIATRY
Phone
(440) 526-3030

Specialties & Taxonomy Codes

Specialty
Special Hospital

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