Provider Demographics
NPI:1316345432
Name:E&M MEDITRANS, INC
Entity type:Organization
Organization Name:E&M MEDITRANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:TRANS PROVIDER
Authorized Official - Phone:914-609-8904
Mailing Address - Street 1:235 S LEXINGTON AVE
Mailing Address - Street 2:APT. 5K
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-2545
Mailing Address - Country:US
Mailing Address - Phone:914-609-8904
Mailing Address - Fax:914-437-8533
Practice Address - Street 1:235 S LEXINGTON AVE
Practice Address - Street 2:APT. 5K
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-2545
Practice Address - Country:US
Practice Address - Phone:914-609-8904
Practice Address - Fax:914-437-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-06
Last Update Date:2014-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY633382720347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle