1396780227 NPI number — BETTER MEDICAL CARE, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396780227 NPI number — BETTER MEDICAL CARE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETTER MEDICAL CARE, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396780227
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21820 UNION TPKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAKLAND GARDENS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11364-3540
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-217-8600
Provider Business Mailing Address Fax Number:
718-217-0926

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21820 UNION TPKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND GARDENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11364-3540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-217-8600
Provider Business Practice Location Address Fax Number:
718-217-0926
Provider Enumeration Date:
06/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HSU
Authorized Official First Name:
WARREN
Authorized Official Middle Name:
WENJSAIR
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-217-8600

Provider Taxonomy Codes

  • Taxonomy code: 207KA0200X , with the licence number:  186109 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5749851 . This is a "AETNA PROVIDER PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 83444 . This is a "BC/BS PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1804564 . This is a "UHC PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2C6900 . This is a "HEALTH NET PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: HIP51548 . This is a "HIP PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P930542 . This is a "OXFORD PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2099905 . This is a "GHI PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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