| NAME |
WHITE PLAINS CBOC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
23 SOUTH BROADWAY |
| CITY |
WHITE PLAINS |
| ZIP |
10601-3503 |
| OFFICIAL VA NAME |
WHITE PLAINS CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WHITE PLAINS VA CLINIC |
| ST. ADDR. 1 (MAILING) |
23 SOUTH BROADWAY |
| CITY (MAILING) |
WHITE PLAINS |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
10601-3503 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1245270065
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
526GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1245270065
-
- CODING SYSTEM: VASTANUM
- ID: 526GA
-
- CODING SYSTEM: CLIA
- ID: 33D1038291
|
