Healthcare Provider Details

I. General information

NPI: 1891042776
Provider Name (Legal Business Name): VETERANS ASSOCIATION OF AMERICA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W 158TH ST SUITE 34
NEW YORK NY
10032-7241
US

IV. Provider business mailing address

522 W 158TH ST SUITE 34
NEW YORK NY
10032-7241
US

V. Phone/Fax

Practice location:
  • Phone: 800-590-2173
  • Fax: 212-568-6324
Mailing address:
  • Phone: 800-590-2173
  • Fax: 212-568-6324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. RAPHAEL K. WORKS
Title or Position: CHAIRMAN, CEO & FOUNDER
Credential:
Phone: 800-590-2173