Provider Demographics
NPI:1265164941
Name:FAMILY MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:FAMILY MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-708-3333
Mailing Address - Street 1:441 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1718
Mailing Address - Country:US
Mailing Address - Phone:718-734-2857
Mailing Address - Fax:718-734-2860
Practice Address - Street 1:441 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-1718
Practice Address - Country:US
Practice Address - Phone:718-734-2857
Practice Address - Fax:718-734-2860
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY MEDICAL SUPPLY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies