Department of Veterans Affairs

NPI #1821272329 in Northport, New York

Provider Information

NPI Number
1821272329
Entity Type
Organization
Organization Name
Department of Veterans Affairs
Primary Specialty
Recreation Therapist
Enumeration Date
Dec 20, 2007
Last Updated
Dec 20, 2007

Practice Location

Address
79 MIDDLEVILLE RD
ZIP Code
11768-2200
Phone
(631) 261-4400

Authorized Official

Name
MRS. SUSAN PASANO, CTRS
Title
ASSIST CHIEF RECREATION THERAPY
Phone
(631) 261-4400

Specialties & Taxonomy Codes

Specialty
Recreation Therapist

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