Healthcare Provider Details

I. General information

NPI: 1790186872
Provider Name (Legal Business Name): ASPIREHOPE NY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WEST STEUBEN ST.
BATH NY
14810
US

IV. Provider business mailing address

25 WEST STEUBEN ST.
BATH NY
14810
US

V. Phone/Fax

Practice location:
  • Phone: 607-776-2164
  • Fax: 607-776-4327
Mailing address:
  • Phone: 607-776-2164
  • Fax: 607-776-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA DINARDO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 585-289-4874