Organization
EXPEDITRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SONNY PHAM (PRESIDENT)
(917) 304-8015
Entity
Organization
Contact information
Practice address
863 CYPRESS AVE, RIDGEWOOD, NY 11385-4724
(917) 304-8015
(212) 202-6384
Mailing address
160-30 78 AVE, FRESH MEADOWS, NY 11366
(917) 304-8015
(212) 202-6384
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90724
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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