Healthcare Provider Details

I. General information

NPI: 1013836121
Provider Name (Legal Business Name): BASHIR&SONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

492 VANDERBILT AVE
STATEN ISLAND NY
10304-3524
US

IV. Provider business mailing address

492 VANDERBILT AVE
STATEN ISLAND NY
10304-3524
US

V. Phone/Fax

Practice location:
  • Phone: 718-619-1482
  • Fax: 718-619-1482
Mailing address:
  • Phone: 718-619-1482
  • Fax: 718-619-1482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ZEEDAN ADIL NASIR SR.
Title or Position: MANAGEMENT
Credential: MD
Phone: 917-347-1131