Provider Demographics
NPI:1538810585
Name:BETTER CHOICE CARE LLC
Entity type:Organization
Organization Name:BETTER CHOICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS-SANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:212-729-9263
Mailing Address - Street 1:7 MARCUS GARVEY BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5303
Mailing Address - Country:US
Mailing Address - Phone:516-386-8663
Mailing Address - Fax:347-474-7596
Practice Address - Street 1:7 MARCUS GARVEY BLVD STE 410
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5303
Practice Address - Country:US
Practice Address - Phone:516-386-8663
Practice Address - Fax:347-474-7596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05741635Medicaid