| NAME |
RIVERHEAD |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
300 CENTER DRIVE |
| CITY |
RIVERHEAD |
| ZIP |
11901-3393 |
| OFFICIAL VA NAME |
Riverhead,NY ORC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RIVERHEAD VA CBOC |
| ST. ADDR. 1 (MAILING) |
300 CENTER DRIVE |
| CITY (MAILING) |
RIVERHEAD |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
11901-3393 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1841238862
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
632HB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1841238862
-
- CODING SYSTEM: VASTANUM
- ID: 632HB
|
