VA HOSPITAL NORTHPORT is a student in an organized health care education training program in Northport, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. VA HOSPITAL NORTHPORT NPI is 1568668887. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
79 MIDDLEVILLE RD
NORTHPORT, NY
ZIP 11768-200
Phone: (631) 261-6074
The provider's authorized official is Jeffrey M Barr .
The authorized official title is Resident and has the following contact phone number (585) 703-5240.
The enumeration date for this NPI number is 6/24/2007 and was last updated on 6/27/2011.