MEDICARE: MUSA ENTERPRISES NY 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	:	1487596292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSA ENTERPRISES NY LLC

Provider Business Mailing Address
First Line	:	714 FOSTER AVE APT D5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-1337
Country	:	US
Telephone Number	:	523-567-8999
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 FOSTER AVE APT D5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-1337
Country	:	US
Telephone Number	:	523-567-9766
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MANZOOR SHAH
Credential	:
Telephone Number	:	523-456-7899

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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