| NAME |
EASTERN DUTCHESS CBOC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
2881 CHURCH STREET, RT 199 |
| CITY |
PINE PLAINS |
| ZIP |
12567-5545 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PINE PLAINS VA CLINIC |
| ST. ADDR. 1 (MAILING) |
2881 CHURCH STREET, RT 199 |
| CITY (MAILING) |
PINE PLAINS |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
12567-5545 |
| EFFECTIVE DATE/TIME |
-
- 2007-10-30 00:00:00
- STATUS: ACTIVE
- NPI: 1467649897
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| STATION NUMBER |
620GH |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 620GH
-
- CODING SYSTEM: CLIA
- ID: 140199596
|
