Buffalo Vamc

Specialty details in registry · Fort Drum, NY

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At a glance

11050A Mount Belvedere Blvd, Fort Drum, NY 13602-5438

NPPES record updated Oct 5, 2026. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

11050A Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Professional details: NPI, taxonomy & registry record
NPI1730564980
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QV0200X
Enumeration date
Jul 29, 2015
Record updated
Oct 5, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QV0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11050A Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone
(717) 277-6565
Mailing address
PO BOX 94434

CLEVELAND, OH 441014434
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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