Provider Demographics
NPI:1457891947
Name:EASY CHOICE AGENCY
Entity Type:Organization
Organization Name:EASY CHOICE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:URENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-817-3282
Mailing Address - Street 1:3863 10TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10034
Mailing Address - Country:US
Mailing Address - Phone:646-817-3282
Mailing Address - Fax:917-398-8539
Practice Address - Street 1:3863 10TH AVENUE
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10034
Practice Address - Country:US
Practice Address - Phone:646-817-3282
Practice Address - Fax:917-398-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04635498Medicaid