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Organization

STATE UNIVERSITY OF NEW YORK COLLEGE AT BROCKPORT

Active
Other names
SUNY Brockport Student Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WENDY L VERGAMINI (ASSISTANT DIRECTOR)
(585) 395-5144
Entity
Organization

Contact information

Practice address
350 NEW CAMPUS DR, HAZEN HALL, BROCKPORT, NY 14420-2997
(585) 395-2414
Mailing address
350 NEW CAMPUS DR, HAZEN HALL, BROCKPORT, NY 14420-2997
(585) 395-2414

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
08/02/2012
Last updated
08/02/2012
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