MEDICARE: RED BULLS 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	:	1821968215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED BULLS SUPPLY INC

Provider Business Mailing Address
First Line	:	1813 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5308
Country	:	US
Telephone Number	:	929-685-5690
Fax Number	:

Provider Business Practice Location Address
First Line	:	1813 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5308
Country	:	US
Telephone Number	:	929-685-5690
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YAKOV SHVARTSMAN
Credential	:
Telephone Number	:	929-685-5690

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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