Provider Demographics
NPI:1285499285
Name:MEDSYS DME LLC
Entity type:Organization
Organization Name:MEDSYS DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MD
Authorized Official - Middle Name:KAMRUL
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-261-7780
Mailing Address - Street 1:7402 101ST AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-1025
Mailing Address - Country:US
Mailing Address - Phone:516-988-0608
Mailing Address - Fax:
Practice Address - Street 1:7402 101ST AVE STE 205
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1025
Practice Address - Country:US
Practice Address - Phone:516-988-0608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies