Organization
PIMEDTRANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVERNE WILLIAMS (PRESIDENT)
(914) 217-3324
Entity
Organization
Contact information
Practice address
864 HARTSDALE RD, WHITE PLAINS, NY 10607-1220
(914) 217-3324
(914) 761-7506
Mailing address
864 HARTSDALE RD, WHITE PLAINS, NY 10607-1220
(914) 217-3324
(914) 761-7506
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03061158
—
NY
Enumeration date
02/27/2019
Last updated
06/07/2019
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