Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

VA Medical Center

Organization Medical Physician Assistant · NPI 1073698858

VA Medical Center is a Medical Physician Assistant in Northport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

VA Medical Center 79 Middleville Rd - Cardiology 111
Northport, NY 11768
Phone: (631) 261-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 000277 (NY)

Record details

NPI number1073698858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stefan Miller — Physician Assistant · (631) 261-4400
NPI enumeratedOctober 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address50 Sequoia Dr, Coram, NY 11727-2039

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