MEDICARE: FAMILY 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1568320729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	1383 SAINT NICHOLAS AVENUE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033
Country	:	US
Telephone Number	:	646-663-4225
Fax Number	:	917-277-5565

Provider Business Practice Location Address
First Line	:	1383 SAINT NICHOLAS AVENUE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033
Country	:	US
Telephone Number	:	646-663-4225
Fax Number	:	917-277-5565

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUSLAN MUSAEV
Credential	:
Telephone Number	:	646-663-4225

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “FAMILY MEDICAL SUPPLY INC ” Practice Location

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