Organization
JAMES PETERS VETERAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SANDRA LISSETTE CASILLAS M.S.W. (SOCIAL WORKER)
(718) 584-9000
Entity
Organization
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4673
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4673
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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