| NAME |
SYRACUSE VA MEDICAL CENTER |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
800 IRVING AVE |
| CITY |
SYRACUSE |
| ZIP |
13210-2716 |
| OFFICIAL VA NAME |
SYRACUSE VA MEDICAL CENTER |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SYRACUSE VAMC |
| ST. ADDR. 1 (MAILING) |
800 IRVING AVE |
| CITY (MAILING) |
SYRACUSE |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
13210-2716 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1619926086
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528A7 |
| HISTORY |
-
- EFFECTIVE DATE: 2000-04-01 00:00:00
- REALIGNED FROM: ZZ SYRACUSE
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1619926086
-
- CODING SYSTEM: VASTANUM
- ID: 528A7
-
- CODING SYSTEM: CLIA
- ID: 33D0987150
|