MEDICARE: VETERANS ASSOCIATION OF AMERICA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1891042776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VETERANS ASSOCIATION OF AMERICA, INC.

Provider Business Mailing Address
First Line	:	522 W 158TH ST
Second Line	:	SUITE 34
City	:	NEW YORK
State	:	NY
Zip	:	10032-7241
Country	:	US
Telephone Number	:	800-590-2173
Fax Number	:	212-568-6324

Provider Business Practice Location Address
First Line	:	522 W 158TH ST
Second Line	:	SUITE 34
City	:	NEW YORK
State	:	NY
Zip	:	10032-7241
Country	:	US
Telephone Number	:	800-590-2173
Fax Number	:	212-568-6324

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

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	08/09/2012

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