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Organization

NORTHPORT VAMC

Active
Other names
VALLEY STREAM VA CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization

Contact information

Practice address
99 S CENTRAL AVE, VALLEY STREAM, NY 11580-5409
(717) 277-6565
Mailing address
PO BOX 94445, CLEVELAND, OH 44101-4445
(717) 277-6565

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
05/26/2006
Last updated
01/10/2023
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