| NAME |
AUBURN |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
47 EAST GENESEE STREET |
| CITY |
AUBURN |
| ZIP |
13021-4027 |
| OFFICIAL VA NAME |
AUBURN |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
AUBURN VA CLINIC |
| ST. ADDR. 1 (MAILING) |
17 LANSING STREET |
| CITY (MAILING) |
AUBURN |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
13021-1983 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1992756274
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528G5 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1992756274
-
- CODING SYSTEM: VASTANUM
- ID: 528G5
|
