NY HARBOR 1 VA MOBILE CLINIC (3825) INSTITUTION (4)

Name	Value
NAME	NY HARBOR 1 VA MOBILE CLINIC
STATE	NEW YORK
STREET ADDR. 1	17900 LINDEN BLVD
CITY	JAMAICA
ZIP	11434-1468
OFFICIAL VA NAME	NY HARBOR 1 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: NEW YORK HHS
BILLING FACILITY NAME	NEW YORK HARBOR 1 VA MOBILE OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1609274257
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	630QA