Provider Demographics
NPI:1932245768
Name:VOLUNTEERS OF AMERICA-GNY
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA-GNY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AUGUSTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OTISI
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MA
Authorized Official - Phone:914-741-2200
Mailing Address - Street 1:50 BROADWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1245
Mailing Address - Country:US
Mailing Address - Phone:914-741-2200
Mailing Address - Fax:914-741-2483
Practice Address - Street 1:50 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1245
Practice Address - Country:US
Practice Address - Phone:914-741-2200
Practice Address - Fax:914-741-2483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02070611OtherCOBRA NUMBER