| Vha | |
|
75 Varick St Fl 5 New York NY 10013-1917 | |
| (646) 612-7782 | |
| Not Available |
| Full Name | Vha |
|---|---|
| Speciality | Internal Medicine |
| Location | 75 Varick St Fl 5, New York, New York |
| Authorized Official Name and Position | Jamie Wiseman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8559611942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vha 408 Jay St 4th Floor Brooklyn NY 11201-5173 Ph: (310) 529-5467 | Vha 75 Varick St Fl 5 New York NY 10013-1917 Ph: (646) 612-7782 |
| NPI Number | 1982156287 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 10/21/2026 |
| Certification Date | 10/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982156287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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