Provider Demographics
NPI:1710432638
Name:ACHIEVE BEYOND
Entity Type:Organization
Organization Name:ACHIEVE BEYOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:914-310-3372
Mailing Address - Street 1:1394 PROSPECT AVE APT 1FL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-1405
Mailing Address - Country:US
Mailing Address - Phone:914-310-3372
Mailing Address - Fax:
Practice Address - Street 1:1394 PROSPECT AVE APT 1FL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-1405
Practice Address - Country:US
Practice Address - Phone:914-310-3372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-21
Last Update Date:2016-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY694857122251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization