Provider Demographics
NPI:1720889504
Name:ASPIRE SUCCESS NY
Entity type:Organization
Organization Name:ASPIRE SUCCESS NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-219-5300
Mailing Address - Street 1:10 LEMBERG CT
Mailing Address - Street 2:#006
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950
Mailing Address - Country:US
Mailing Address - Phone:845-219-5300
Mailing Address - Fax:
Practice Address - Street 1:10 LEMBERG CT
Practice Address - Street 2:#006
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950
Practice Address - Country:US
Practice Address - Phone:845-219-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management