MEDICARE: ASSISTANCE BY IMPROV II, INC

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	1041C0700X	Clinical Social Worker	077816	NY
2	163WC1500X	Community Health Registered Nurse
3	163WN1003X	Nutrition Support Registered Nurse
4	164W00000X	Licensed Practical Nurse	192940-1	NY
5	343900000X	Non-emergency Medical Transport (VAN)		NY
6	251B00000X	Case Management Agency	041-O-100	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548560683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTANCE BY IMPROV II, INC

Provider Business Mailing Address
First Line	:	144 VAN CORTLANDT PARK S
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-2505
Country	:	US
Telephone Number	:	929-263-1242
Fax Number	:	646-401-7420

Provider Business Practice Location Address
First Line	:	953 SOUTHERN BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-3428
Country	:	US
Telephone Number	:	929-263-1242
Fax Number	:	646-401-7420

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOE WRIGHT
Credential	:
Telephone Number	:	929-263-1242

Provider Enumeration Date	:	10/22/2010
Last Update Date	:	04/11/2016

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