Provider Demographics
NPI:1639276967
Name:J.J.PETERS VETERANS AFFAIRS MEDICAL CENTER
Entity Type:Organization
Organization Name:J.J.PETERS VETERANS AFFAIRS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PALLIATIVE CARE FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-584-9000
Mailing Address - Street 1:171 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5417
Mailing Address - Country:US
Mailing Address - Phone:914-482-1834
Mailing Address - Fax:718-741-4211
Practice Address - Street 1:J.J.PETERS V. A. M. C.
Practice Address - Street 2:130 KINGSBRIDGE ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202704281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital