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Organization
NORTHPORT VA MEDICAL CENTER
Active
Organization
NORTHPORT VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDAR TANK M.D. (ACOS/DIRECTOR)
(631) 261-4400
Entity
Organization
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 266-6054
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 266-6054
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
221381
NY
Other
Enumeration date
03/21/2006
Last updated
07/21/2022
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