Basic Information
| Provider Information | |||||||||
| NPI: | 1760623474 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BETTER HEALTH NP IN ADULT HEALTH PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 97-32 63RD RD | ||||||||
| Address2: | |||||||||
| City: | REGO PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113741639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182551018 | ||||||||
| FaxNumber: | 7182759600 | ||||||||
| Practice Location | |||||||||
| Address1: | 97-32 63RD RD | ||||||||
| Address2: | |||||||||
| City: | REGO PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113741639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182551018 | ||||||||
| FaxNumber: | 7182759600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2009 | ||||||||
| LastUpdateDate: | 08/12/2019 | ||||||||
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| AuthorizedOfficialLastName: | BABEKOV | ||||||||
| AuthorizedOfficialFirstName: | EVA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7182551018 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | NP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.