Provider Demographics
NPI:1164955613
Name:VOLUNTEERS OF AMERICA GREATER NEW YORK
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA GREATER NEW YORK
Other - Org Name:VOLUNTEERS OF AMERICA NNJ SECTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP/CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-827-2468
Mailing Address - Street 1:205 W MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3203
Mailing Address - Country:US
Mailing Address - Phone:732-827-2472
Mailing Address - Fax:
Practice Address - Street 1:501 ALLETTA ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-2703
Practice Address - Country:US
Practice Address - Phone:732-827-2453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJGH1247320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities