Eastside Orthotics & Prosthetics, Inc
LBN: Eastside Orthotics & Prosthetics, Inc
Eastside Orthotics & Prosthetics, Inc is an health care organization with primary practice located at 889 Harrison Ave Suite 2A, Riverhead NY 11901-2090. 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 & Prosthetics, Inc can be contacted via phone (631) 727-8735, or through Flynn, Matthew D via phone (631) 727-8735.
Contact Information
Primary practice address
889 Harrison Ave Suite 2A
Riverhead NY 11901-2090
Phone: (631) 727-8735
Fax: (631) 727-6834
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 | 1053318022 |
|---|---|
| LBN Legal business name | Eastside Orthotics & Prosthetics, Inc |
| DBA Doing business as | |
| Authorized official | Flynn, Matthew D Certified Psychologist (CP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Sep 14th, 2015 - about 9 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 | 1053318022 | NPPES |
| New York | MEDICAID | 02247905 |
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