Organization
MEDI ACTIVE WHEELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERFRAZ AHMED (OWNER)
(631) 599-0933
Entity
Organization
Contact information
Practice address
600 PORTION RD UNIT 10, LAKE RONKONKOMA, NY 11779-1867
(631) 599-0933
Mailing address
600 PORTION RD UNIT 10, LAKE RONKONKOMA, NY 11779-1867
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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