Provider Demographics
NPI:1245836766
Name:AHIVIM INC
Entity type:Organization
Organization Name:AHIVIM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-774-7000
Mailing Address - Street 1:15 ADELAKE FARE WAY
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-7114
Mailing Address - Country:US
Mailing Address - Phone:845-774-7000
Mailing Address - Fax:
Practice Address - Street 1:15 ADELAKE FARE WAY
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-7114
Practice Address - Country:US
Practice Address - Phone:845-774-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AHIVIM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-09
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health