MEDICARE: B&S MEDICAL SUPPLY INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)	4399513	NY
2	332B00000X	Durable Medical Equipment & Medical Supplies	4287900001 FED	NY
3	332BC3200X	Customized Equipment (DME)	2575
4	332B00000X	Durable Medical Equipment & Medical Supplies	02205407	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	:	1225023625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&S MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	2109 W 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3818
Country	:	US
Telephone Number	:	718-336-9240
Fax Number	:	718-336-9218

Provider Business Practice Location Address
First Line	:	2109 W 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3818
Country	:	US
Telephone Number	:	718-336-9240
Fax Number	:	718-336-9218

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BORIS SIMON
Credential	:
Telephone Number	:	718-336-9240

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	12/04/2025

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Directions to “B&S MEDICAL SUPPLY INC ” Practice Location

Language	Start Address	Practice Location

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