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Organization

MYTRANS CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK FLEISCHMANN (PRESIDENT)
(646) 879-9621
Entity
Organization

Contact information

Practice address
1208 AVENUE M STE 2423, BROOKLYN, NY 11230-5204
(646) 879-9621
Mailing address
1208 AVENUE M STE 2423, BROOKLYN, NY 11230-5204
(646) 879-9621

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90715
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02743319
NY
Enumeration date
07/08/2016
Last updated
07/08/2016
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