# VA HOSPITAL NORTHPORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568668887
- **Authorized official:** DR. JEFFREY M BARR (RESIDENT)
- **Authorized official phone:** (585) 703-5240

## Contact information

- **Practice address:** 79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
- **Practice address phone:** (631) 261-6074
- **Mailing address:** 43 QUAKER PATH, STONY BROOK, NY 11790-1309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2007
- **Last updated:** 06/27/2011