Healthcare Provider Details

I. General information

NPI: 1245836766
Provider Name (Legal Business Name): AHIVIM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CORPORATE DR
CENTRAL VALLEY NY
10917-4004
US

IV. Provider business mailing address

4 CORPORATE DR
CENTRAL VALLEY NY
10917-4004
US

V. Phone/Fax

Practice location:
  • Phone: 845-774-7000
  • Fax:
Mailing address:
  • Phone: 845-774-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOSHE FRANKEL
Title or Position: CFO
Credential:
Phone: 845-774-7000