| NAME |
VALLEY STREAM CBOC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
99 SOUTH CENTRAL AVE |
| CITY |
VALLEY STREAM |
| ZIP |
11580-5409 |
| OFFICIAL VA NAME |
VALLEY STREAM CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
VALLEY STREAM VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1821044116
-
- 2012-11-01 00:00:00
- STATUS: ACTIVE
- NPI: 1821044116
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
632HA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1821044116
-
- CODING SYSTEM: VASTANUM
- ID: 632HA
|
