ZZ-LINDENHURST (1629)    INSTITUTION (4)

Name Value
NAME ZZ-LINDENHURST
STATE NEW YORK
STREET ADDR. 1 560 NORTH DELAWARE AVENUE
CITY LINDENHURST
ZIP 11757-3411
OFFICIAL VA NAME Lindenhurst,NY ORC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LINDENHURST VA CBOC
ST. ADDR. 1 (MAILING) 560 NORTH DELAWARE AVENUE
CITY (MAILING) LINDENHURST
STATE (MAILING) NEW YORK
ZIP (MAILING) 11757-3411
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1902852023
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 632HF
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1902852023
  • CODING SYSTEM:   VASTANUM
    ID:   632HF