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NPI Code Detail

MEDICARE: BETTER CHOICE CARE LLC

MEDICARE: BETTER CHOICE CARE LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3363LP2300XPrimary Care Nurse Practitioner
4363AM0700XMedical Physician Assistant

Other Identifiers

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

General Provider Information

NPI Number : 1538810585
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETTER CHOICE CARE LLC
Provider Business Mailing Address
First Line : 7 MARCUS GARVEY BLVD STE 410
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5303
Country : US
Telephone Number : 516-386-8663
Fax Number : 347-474-7596
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 : 516-386-8663
Fax Number : 347-474-7596
Authorized Official
Title or Position : PHYSICIAN ASSISTANT/CEO
Name : MARTHA LEWIS-SANDARI
Credential : PA-C
Telephone Number : 212-729-9263
Provider Enumeration Date : 01/11/2022
Last Update Date : 01/11/2022

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Directions to “BETTER CHOICE CARE LLC ” Practice Location

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