Healthcare Provider Details

I. General information

NPI: 1154372365
Provider Name (Legal Business Name): BETTER HLTH MED CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6260 108TH ST 1J
FOREST HILLS NY
11375-1356
US

IV. Provider business mailing address

6260 108TH ST 1J
FOREST HILLS NY
11375-1356
US

V. Phone/Fax

Practice location:
  • Phone: 718-275-2224
  • Fax:
Mailing address:
  • Phone: 718-743-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number228200
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number220352
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number155611
License Number StateNY

VIII. Authorized Official

Name: GOLDMAN ARON
Title or Position: PRESIDENT
Credential:
Phone: 718-275-2224