BUFFALO VAMC NPI 1104864743

NPI Information

  • NPI: 1104864743
  • Provider Name: BUFFALO VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Other Name: OSWEGO VA CLINIC
  • CLIA Number: 33D2015733
  • Address: 293 STATE ROUTE 104 STE 70
    OSWEGO, NY
    ZIP 13126
  • Phone: (717) 277-6565

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NPI Details

BUFFALO VAMC is a va clinic center in Oswego, NY. BUFFALO VAMC NPI is 1104864743. The provider is registered as an organization entity type.
The provider Other Name Is Oswego Va Clinic.

The provider's business location address is:

293 STATE ROUTE 104 STE 70
OSWEGO, NY
ZIP 13126-946
Phone: (717) 277-6565

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The CLIA number assigned to this NPI record is 33D2015733 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 1/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QV0200XClinic/CenterVAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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