MEDICARE: FKRR ALI FAMILY 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	:	1962207787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FKRR ALI FAMILY LLC

Provider Business Mailing Address
First Line	:	215 N CEDAR ST
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-2818
Country	:	US
Telephone Number	:	716-371-1945
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 N CEDAR ST
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-2818
Country	:	US
Telephone Number	:	716-371-1945
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	FAISAL MURTAZA
Credential	:
Telephone Number	:	716-371-1945

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

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Directions to “FKRR ALI FAMILY LLC ” Practice Location

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