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Organization
JJP VA MEDICAL CENTER
Active
Organization
JJP VA MEDICAL CENTER
Active
Parent organization
DEPT OF VETERAN'S AFFAIRS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPT OF VETERAN'S AFFAIRS
Authorized official
MRS. MARTHA ASSAF PHILLIPS M.A. CCC-A (AUDIOLOGIST)
(718) 584-9000
Entity
Organization
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000730-1
NY
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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