Provider Demographics
NPI:1477838811
Name:BETTERHABITS HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:BETTERHABITS HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-921-3745
Mailing Address - Street 1:725 RIVER RD
Mailing Address - Street 2:SUITE 32-122
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1171
Mailing Address - Country:US
Mailing Address - Phone:917-921-3745
Mailing Address - Fax:
Practice Address - Street 1:253 WARREN AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4108
Practice Address - Country:US
Practice Address - Phone:917-921-3745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA072434002083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty