BRONX VAMC (NPI# 1558309047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558309047 |
| Entity Type | Organization |
| Organization Name | BRONX VAMC |
| Other Organization Name | QUEENS VA CLINIC |
| Practice Address |
4103 Queens Blvd Sunnyside NY 11104-2801 |
| Mailing Address |
130 W Kingsbridge Rd Bronx NY 10468-3904 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Queens VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1023057965 | Bronx Vamc | Clinic/Center | 124 New Main St, Yonkers, NY 10701-4126 | 2006-06-06 |
| 1700284353 | Bronx Vamc | Clinic/Center | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2014-12-15 |
| 1316996630 | Bronx Vamc | General Acute Care Hospital | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-05-06 |
| 1821056995 | Bronx Vamc | Department of Veterans Affairs (VA) Pharmacy | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-05-01 |
| Street Address |
4103 QUEENS BLVD |
| City | SUNNYSIDE |
| State | NY |
| Zip Code | 11104-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568474278 | Michael R Zuckman, M.d., P.C. | Clinic/Center | 4103 Queens Blvd, Sunnyside, NY 11104-2801 | 2006-08-12 |
| 1134131931 | Michael Robert Zuckman | Internal Medicine | 4103 Queens Blvd, Sunnyside, NY 11104-2801 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821751 | Angelica Ramnarain | Pharmacist | 41 08 Queens Blvd., Sunnyside, NY 11104 | 2019-03-22 |
| 1336603489 | City Medical of Upper East Side, Pllc | Clinic/Center | 47-24 Queens Blvd, Sunnyside, NY 11104 | 2019-01-23 |
| 1972012201 | Matthew Koziolek | Counselor | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104 | 2017-09-29 |
| 1376052555 | Clara Velma Haylock | Licensed Practical Nurse | 4528 40th Ave, 2r, Sunnyside, NY 11104 | 2017-09-20 |
| 1831630169 | Wan-jung Lin | Physical Therapist | 43-48 48th St, Sunnysid, NY 11104 | 2017-03-20 |
| 1881137875 | Eastern Pharmacy Inc | Pharmacy | 4504 Greenpoint Ave, Sunnyside, NY 11104 | 2016-11-23 |
| 1770039349 | Asian Adult Day Care Center | Clinic/Center | 4120 Queens Boulevard, Sunnyside, NY 11104 | 2016-09-01 |
| 1407210818 | Amelia Anderson | Community Health Worker | 40-31 48th Street, Sunnyside, NY 11104 | 2016-04-12 |
| 1467703801 | Maureen Eisenberg | Nurse Practitioner | 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 | 2012-09-25 |
| 1255693628 | Suman Ghosh | Specialist | 47-15, 43rd Av, Sunnyside,queens, NY 11104 | 2012-06-12 |
| Find all providers in zip 11104 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1538350616 | Vet Center | Clinic/Center | 17 Computer Dr W, Albany, NY 12205-1614 | 2007-08-05 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1174563548 | Soho Community Clinic | Clinic/Center | 245 W Houston St, Room 313, New York, NY 10014-4805 | 2006-06-07 |
| 1487693362 | New York Vamc | Clinic/Center | 1150 South Ave, 3rd Floor-suite 301, Staten Island, NY 10314-3404 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.