Healthcare Provider Details

I. General information

NPI: 1467151514
Provider Name (Legal Business Name): BALANCE CHOICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MARCUS GARVEY BLVD STE 410
BROOKLYN NY
11206-5303
US

IV. Provider business mailing address

409 KNICKERBOCKER AVE APT 2
BROOKLYN NY
11237-6823
US

V. Phone/Fax

Practice location:
  • Phone: 212-729-9263
  • Fax:
Mailing address:
  • Phone: 212-729-9263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARTHA LEWIS-SANDARI
Title or Position: OWNER
Credential: PA
Phone: 212-729-9263