Brand Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1302827 Issued in NY

Legal business name

BRAND MEDICAL SUPPLY, INC.

Practice address

6637 Myrtle Ave
Glendale, NY 11385-7055

Phone

(718) 381-4700

Fax

(718) 381-0700

NPI assigned

Mar 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alisho Fattahov

Title

President

Phone

(718) 381-4700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1487929535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6637 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857055",
            "telephone_number": "718-381-4700",
            "fax_number": "718-381-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857055",
            "telephone_number": "718-381-4700",
            "fax_number": "718-381-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "FATTAHOV",
        "authorized_official_first_name": "ALISHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-381-4700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1302827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanan Botros
• Jacqueline Bottenbley, MS.ED
• Soukaina Boudari
• Boutique Dental
• Jessica Marie Bradley, PT, DPT
• Marc Alan Brenner, D.P.M.
• Ted Brezel, M.D.
• Glenda Bria, PT
• Emilyn Brodsky
• Dederie Brown

• Durable Medical Equipment & Medical Supplies in Glendale, NY
• Providers in Glendale, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.