MEDICARE: PATIENTCARE SUPPLIES CORPORATION

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	:	1285582965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENTCARE SUPPLIES CORPORATION

Provider Business Mailing Address
First Line	:	445 COLUMBUS AVE UNIT 1
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13210-2121
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 COLUMBUS AVE UNIT 1
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13210-2121
Country	:	US
Telephone Number	:	929-919-1244
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AHSAN ABDULLAH
Credential	:
Telephone Number	:	929-919-1244

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “PATIENTCARE SUPPLIES CORPORATION ” Practice Location

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