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Organization
VA MEDICAL CENTER
Active
Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER M VALLONE R.D., C.D.N. (REGISTERED DIETITIAN)
(315) 425-4400
Entity
Organization
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
(315) 425-4375
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
(315) 425-4375
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0053921
NY
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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