MEDICARE: MEDISUPPORT SOLUTIONS LLC

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

General Provider Information

NPI Number	:	1225986235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDISUPPORT SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	580 E 17TH ST APT L2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6619
Country	:	US
Telephone Number	:	914-577-1352
Fax Number	:

Provider Business Practice Location Address
First Line	:	580 E 17TH ST APT L2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6619
Country	:	US
Telephone Number	:	914-577-1352
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SAMINA SHAHID
Credential	:
Telephone Number	:	914-577-1352

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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