NAME |
QUEENS CBOC |
STATE |
NEW YORK |
STREET ADDR. 1 |
41-03 QUEENS BOULEVARD |
CITY |
QUEENS |
ZIP |
11104-2801 |
OFFICIAL VA NAME |
NORTH QUEENS CLINIC |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
QUEENS VA CLINIC |
ST. ADDR. 1 (MAILING) |
41-03 QUEENS BOULEVARD |
CITY (MAILING) |
QUEENS |
STATE (MAILING) |
NEW YORK |
ZIP (MAILING) |
11104-2801 |
EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1558309047
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
EASTERN |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
STATION NUMBER |
526GD |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1558309047
-
- CODING SYSTEM: VASTANUM
- ID: 526GD
-
- CODING SYSTEM: CLIA
- ID: 33D1040604
|