WATERTOWN 2 VA CLINIC (3502) INSTITUTION (4)

Name	Value
NAME	WATERTOWN 2 VA CLINIC
STATE	NEW YORK
STREET ADDR. 1	19472 US ROUTE 11
CITY	WATERTOWN
ZIP	13601-9998
OFFICIAL VA NAME	WATERTOWN 2 VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: SYRACUSE VA MEDICAL CENTER
BILLING FACILITY NAME	WATERTOWN 1 VA CLINIC
EFFECTIVE DATE/TIME	2015-04-20 00:00:00 STATUS: ACTIVE NPI: 1730564980
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	528QN