Healthcare Provider Details

I. General information

NPI: 1821855917
Provider Name (Legal Business Name): MSK TRANSPORTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 RELLA BLVD STE 165
SUFFERN NY
10901-8114
US

IV. Provider business mailing address

400 RELLA BLVD STE 165
SUFFERN NY
10901-8114
US

V. Phone/Fax

Practice location:
  • Phone: 845-490-8459
  • Fax:
Mailing address:
  • Phone: 845-490-8459
  • 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: MUHAMMAD S KHAN
Title or Position: PRESIDENT
Credential:
Phone: 845-490-8459