BAY SHORE CBOC (1626)    INSTITUTION (4)

Name Value
NAME BAY SHORE CBOC
STATE NEW YORK
STREET ADDR. 1 132 EAST MAIN ST
CITY BAY SHORE
ZIP 11706-8302
OFFICIAL VA NAME BAY SHORE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BAY SHORE VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1215982897
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 632HC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1215982897
  • CODING SYSTEM:   VASTANUM
    ID:   632HC