Healthcare Provider Details

I. General information

NPI: 1760623474
Provider Name (Legal Business Name): BETTER HEALTH NP IN ADULT HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97-32 63RD RD
REGO PARK NY
11374-1639
US

IV. Provider business mailing address

6536 99TH ST APT 1P
REGO PARK NY
11374-4301
US

V. Phone/Fax

Practice location:
  • Phone: 718-255-1018
  • Fax: 718-275-9600
Mailing address:
  • Phone: 646-309-6002
  • Fax: 718-228-5257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. EVA BABEKOV
Title or Position: OWNER
Credential: NP
Phone: 646-309-6002