Thomas Casey, here is a ca 1905 pic of the location you suggest.
At the right edge, you can see the new location for the train tracks being constructed, which will form a barrier between Spuyten Duyvil Creek on the left and the Ship Canal to the right. I think it was around 1905 that the reroute was completed, before that the train tracks went all the way up to 231st St before looping back down to the Spuyten Duyvil RR cut by the Johnson Iron Works.
The Roman Catholic Orphan Asylum is on top of the hill, which is where the VA Hospital is today, so this pic is very close to the same view as in your post.
https://cdm16694.contentdm.oclc.org/digital/collection/p16124coll2/id/36182