Organization
CALIFORNIA MEDTRANS NETWORK IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WINAKOR (CEO)
(516) 807-9324
Entity
Organization
Contact information
Practice address
2950 EXPRESS DR S, ISLANDIA, NY 11749-1400
(631) 389-2098
Mailing address
992 S 2ND ST, RONKONKOMA, NY 11779-7204
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
09/16/2019
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