Provider Demographics
NPI:1841565165
Name:AETNA BETTER HEALTH INC.
Entity Type:Organization
Organization Name:AETNA BETTER HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NASRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHELEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-483-2182
Mailing Address - Street 1:151 FARMINGTON AVE # RW61
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06156-0001
Mailing Address - Country:US
Mailing Address - Phone:646-483-2182
Mailing Address - Fax:
Practice Address - Street 1:55 W 125TH ST
Practice Address - Street 2:13TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4516
Practice Address - Country:US
Practice Address - Phone:646-483-2182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AETNA HEALTH HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization