| Us Department Of Veterans Affairs | |
|
800 Irving Ave Syracuse NY 13210-2716 | |
| (315) 425-4400 | |
| Not Available |
| Full Name | Us Department Of Veterans Affairs |
|---|---|
| Speciality | Social Worker |
| Location | 800 Irving Ave, Syracuse, New York |
| Authorized Official Name and Position | Edwin David Gwyther (SOCIAL WORKER) |
| Authorized Official Contact | 3153347100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Us Department Of Veterans Affairs 8036 Yager Rd Blossvale NY 13308-2926 Ph: (315) 334-7100 | Us Department Of Veterans Affairs 800 Irving Ave Syracuse NY 13210-2716 Ph: (315) 425-4400 |
| NPI Number | 1124137096 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124137096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 064482 (New York) | Primary |
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