Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN GARDNER (ADMINISTRATIVE OFFICER - BVAC)
(315) 425-4400
Entity
Organization
Contact information
Practice address
1031 E FAYETTE ST, SYRACUSE, NY 13210-1022
(315) 425-4400
Mailing address
1031 E FAYETTE ST, SYRACUSE, NY 13210-1022
(315) 425-4400
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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