| Department Of Veterans Affairs | |
|
3372 State Route 11 Malone NY 12953-4712 | |
| (518) 483-1529 | |
| Not Available |
| Full Name | Department Of Veterans Affairs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3372 State Route 11, Malone, New York |
| Authorized Official Name and Position | Jamie Ellis (ACTING BH IN PRIMARY CARE LEAD) |
| Authorized Official Contact | 5186265404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veterans Affairs 3372 State Route 11 Malone NY 12953-4712 Ph: (518) 483-1529 | Department Of Veterans Affairs 3372 State Route 11 Malone NY 12953-4712 Ph: (518) 483-1529 |
| NPI Number | 1194976274 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194976274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 069540 (New York) | Primary |
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