MEDICARE: ATLANTIC SURGICAL SUPPLY CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1038093	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093723058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC SURGICAL SUPPLY CORP

Provider Business Mailing Address
First Line	:	3338 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3715
Country	:	US
Telephone Number	:	718-236-5354
Fax Number	:	718-236-2156

Provider Business Practice Location Address
First Line	:	3338 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3715
Country	:	US
Telephone Number	:	718-236-5354
Fax Number	:	718-236-2156

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. OLEG MOVSUMOV
Credential	:
Telephone Number	:	718-236-5354

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1770909046 — AVE T PHARMACY INC
Practice Location Address:

3340 NOSTRAND AVE
BROOKLYN, NY
11229-3715

Practice Phone: 718-513-1585
Practice Fax: 718-513-1586

1497721591 — ALEKSANDR LIPEL PT
Practice Location Address:

3715 MERMAID AVE
BROOKLYN, NY
11224-1218

Practice Phone: 917-612-3971
Practice Fax: 718-934-3330

1184768467 — DR. ARYEH FEIT O.D.
Practice Location Address:

1053 E 26TH ST
BROOKLYN, NY
11210-3715

Practice Phone: 917-327-2582
Practice Fax:

1831335405 — MRS. MIRIAM K REINMAN MS,CCC/SLP
Practice Location Address:

1075 E 26TH ST
BROOKLYN, NY
11210-3715

Practice Phone: 718-951-9541
Practice Fax:

1184859167 — ALICE SUEN
Practice Location Address:

8726 15TH AVE , FIRST FLOOR
BROOKLYN, NY
11228-3715

Practice Phone: 718-837-5978
Practice Fax:

1265661128 — DR. NOAM FAST MD
Practice Location Address:

306 WASHINGTON AVE , APT 1
BROOKLYN, NY
11205-3715

Practice Phone: 917-470-0505
Practice Fax:

Directions to “ATLANTIC SURGICAL SUPPLY CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.