MEDICARE: ASPIRE PEERS AZ LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1073447504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE PEERS AZ LLC

Provider Business Mailing Address
First Line	:	10 LEMBERG CT APT 6
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-6582
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 LEMBERG CT APT 6
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-6582
Country	:	US
Telephone Number	:	845-219-5300
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL GANDL
Credential	:
Telephone Number	:	845-219-5300

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ASPIRE PEERS AZ LLC ” Practice Location

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