Provider Demographics
NPI:1922277276
Name:PROGRESSIVE SOCIAL SERVICES INC
Entity Type:Organization
Organization Name:PROGRESSIVE SOCIAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:914-434-5532
Mailing Address - Street 1:41 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1914
Mailing Address - Country:US
Mailing Address - Phone:914-434-5532
Mailing Address - Fax:
Practice Address - Street 1:41 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1914
Practice Address - Country:US
Practice Address - Phone:914-434-5532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02843429Medicaid