Healthcare Provider Details

I. General information

NPI: 1184536377
Provider Name (Legal Business Name): MRS MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6309 BAY PKWY APT F7
BROOKLYN NY
11204-3267
US

IV. Provider business mailing address

6309 BAY PKWY APT F7
BROOKLYN NY
11204-3267
US

V. Phone/Fax

Practice location:
  • Phone: 929-485-0999
  • Fax:
Mailing address:
  • Phone: 929-485-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MIRSADIK SADIKOV
Title or Position: OWNER
Credential:
Phone: 929-485-0999