Healthcare Provider Details
I. General information
NPI: 1790629095
Provider Name (Legal Business Name): ASPIRE HIGHER NY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 TETIEV WAY UNIT 101
SPRING VALLEY NY
10977-1872
US
IV. Provider business mailing address
110 TETIEV WAY UNIT 101
SPRING VALLEY NY
10977-1872
US
V. Phone/Fax
- Phone: 845-499-7410
- Fax:
- Phone: 845-499-7410
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
YAKOV
Y
FISCHER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 845-499-7410