Provider Demographics
NPI:1548560683
Name:ASSISTANCE BY IMPROV II, INC
Entity type:Organization
Organization Name:ASSISTANCE BY IMPROV II, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-263-1242
Mailing Address - Street 1:144 VAN CORTLANDT PARK S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2505
Mailing Address - Country:US
Mailing Address - Phone:929-263-1242
Mailing Address - Fax:646-401-7420
Practice Address - Street 1:953 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3428
Practice Address - Country:US
Practice Address - Phone:929-263-1242
Practice Address - Fax:646-401-7420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0778161041C0700X
163WC1500X, 163WN1003X
NY192940-1164W00000X
NY343900000X
NY041-O-100251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No163WN1003XNursing Service ProvidersRegistered NurseNutrition SupportGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02103304Medicaid
NY02241541Medicaid
NY1276581080Medicaid
NY02757133Medicaid
NY1146254997Medicaid
NY02100810Medicaid
NY01478519Medicaid
NY02845976Medicaid
NY1276581080Medicaid