# VETERANS ADMINISTRATION HOSPITAL

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

## Provider details

- **NPI number:** 1962697490
- **Authorized official:** DR. XIYUN SHAO M.D. (ATTENDING PHYSICIAN)
- **Authorized official phone:** (917) 940-8711

## Contact information

- **Practice address:** 79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
- **Practice address phone:** (631) 261-4363
- **Mailing address:** 15 JEAN PL, SYOSSET, NY 11791-5914
- **Mailing address phone:** (516) 558-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | 245201 | NY | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | 245201 | NY | — |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 245201 | NY | — |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 09/07/2007