Healthcare Provider Details

I. General information

NPI: 1548560683
Provider Name (Legal Business Name): ASSISTANCE BY IMPROV II, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

953 SOUTHERN BLVD
BRONX NY
10459-3428
US

IV. Provider business mailing address

144 VAN CORTLANDT PARK S
BRONX NY
10463-2505
US

V. Phone/Fax

Practice location:
  • Phone: 929-263-1242
  • Fax: 646-401-7420
Mailing address:
  • Phone: 929-263-1242
  • Fax: 646-401-7420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number077816
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number192940-1
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number041-O-100
License Number StateNY

VIII. Authorized Official

Name: MR. JOE WRIGHT
Title or Position: PRESIDENT
Credential:
Phone: 929-263-1242