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Medtrans Black Car Service Corp

Non-emergency Medical Transport (VAN) in Ridgewood, NY. Organization (NPI-2).

NPI number1124474077
StatusActive
Last updated in NPPESMay 10, 2016

Details

NPI
1124474077
Entity type
Organization (NPI-2)
Legal business name
Medtrans Black Car Service Corp
Organization subpart
No
Enumeration date
May 10, 2016
Last updated
May 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)B02943NYYes

Practice location

5619 Metropolitan Ave
Suite 4
Ridgewood, NY 11385-1958

Phone 347-704-1619

Mailing address

56-19 Metropolitan Ave
Suite 4
Queens, NY 11385

Phone 347-704-6919 · Fax 347-704-6920

Authorized official

Aaron Baidoo
Secrectary
9294423963

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