Eastside Orthotics And Prosthetics, Inc.
LBN: Eastside Orthotics And Prosthetics, Inc.
Eastside Orthotics And Prosthetics, Inc. is an health care organization with primary practice located at 622 W 168Th St Vc333, New York NY 10032. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Eastside Orthotics And Prosthetics, Inc. can be contacted via phone (212) 305-3275, or through Flynn, Matthew D via phone (631) 727-8735.
Contact Information
Primary practice address
622 W 168Th St Vc333
New York NY 10032
Phone: (212) 305-3275
Fax: (212) 305-5927
Website:
Authorized official contact:
Name: Flynn, Matthew D Certified Psychologist (CP)
Phone: (631) 727-8735
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1982608493 |
|---|---|
| LBN Legal business name | Eastside Orthotics And Prosthetics, Inc. |
| DBA Doing business as | |
| Authorized official | Flynn, Matthew D Certified Psychologist (CP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Sep 19th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982608493 | NPPES |
| New York | MEDICAID | 01052611 |
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