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Veterans' health care in the United States is separated geographically into 19 regions (numbered 1, 2, 4–10, 12 and 15–23) [1] known as VISNs, or Veterans Integrated Service Networks, into systems within each network headed by medical centers, and hierarchically within each system by division level of care or type.
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Middletown station is part of Metro-North Railroad's Port Jervis Line. Middletown can be reached from New York City by bus and is located near the intersection of Interstate 84 and NY 17 (the future Interstate 86). State routes 17M and 211 run right through the city, and US 6 parallels I-84 to the south.
LIVS was first located in Levittown, NY and was previously called “Island Veterinary Referral.” Dr. Meyer Kaplan, veterinary surgeon and owner of Levittown Animal Hospital, and Dr. John Sapienza, veterinary ophthalmologist, formed Island Veterinary Referral in 1993. Dr.
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