California Medtrans Network Ipa LLC
Transportation Broker in Islandia, NY. Organization (NPI-2).
NPI number1275947442
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1275947442
- Entity type
- Organization (NPI-2)
- Legal business name
- California Medtrans Network Ipa LLC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2014
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347E00000X | Transportation Broker | – | – | Yes |
Practice location
2950 Express Dr SIslandia, NY 11749-1400
Phone 631-389-2098
Mailing address
992 S 2nd StRonkonkoma, NY 11779-7204
Authorized official
Andrew Winakor
Ceo
5168079324
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