U.s. Dept. of Veterans Affairs

NPI #1689682478 in Lyons, New Jersey

Provider Information

NPI Number
1689682478
Entity Type
Organization
Organization Name
U.s. Dept. of Veterans Affairs
Primary Specialty
Psychiatric Hospital
Enumeration Date
Aug 4, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
155 KNOLLCROFT RD
Address 2
BUILDING 143,ROOM WII8
City
Lyons
ZIP Code
07939-5001
Phone
(908) 647-0180

Authorized Official

Name
DR. CHAE IM, M.D.
Title
CHIEF,PHYSICAL MEDICINE REHAB SERVI
Phone
(973) 676-1000

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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