Provider Demographics
NPI:1710431283
Name:WYCKOFF FAMILY YMCA
Entity Type:Organization
Organization Name:WYCKOFF FAMILY YMCA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOTTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-891-2081
Mailing Address - Street 1:691 WYCKOFF AVE
Mailing Address - Street 2:P.O. BOX 203
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1524
Mailing Address - Country:US
Mailing Address - Phone:201-891-2081
Mailing Address - Fax:201-891-3519
Practice Address - Street 1:691 WYCKOFF AVE
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1524
Practice Address - Country:US
Practice Address - Phone:201-891-2081
Practice Address - Fax:201-891-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services