ERIE EAST VA CLINIC (3497) INSTITUTION (4)

Name	Value
NAME	ERIE EAST VA CLINIC
STATE	NEW YORK
STREET ADDR. 1	910 ERIE BLVD EAST, 2ND FLR
CITY	SYRACUSE
ZIP	13210-1060
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: SYRACUSE VA MEDICAL CENTER
BILLING FACILITY NAME	ERIE EAST VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1033517602
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	528QI