MEDICARE: BALANCE CHOICE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QI0500X	Infusion Therapy Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center
3	261QH0100X	Health Service Clinic/Center
4	261QP2300X	Primary Care Clinic/Center
5	207QA0505X	Adult Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1557604717	OTHER	NY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467151514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE CHOICE CARE

Provider Business Mailing Address
First Line	:	409 KNICKERBOCKER AVE APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-6823
Country	:	US
Telephone Number	:	212-729-9263
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 MARCUS GARVEY BLVD STE 410
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-5303
Country	:	US
Telephone Number	:	212-729-9263
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARTHA LEWIS-SANDARI
Credential	:	PA
Telephone Number	:	212-729-9263

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	03/12/2026

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Directions to “BALANCE CHOICE CARE ” Practice Location

Language	Start Address	Practice Location

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