Eastside Orthotics and Prosthetics, Inc.

NPI #1982608493 in New York, New York

Provider Information

NPI Number: 1982608493
Entity Type: Organization
Organization Name: Eastside Orthotics and Prosthetics, Inc.
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Jun 13, 2005
Last Updated: Sep 19, 2007

Practice Location

Address: 622 W 168TH ST
Address 2: VC333
City: New York
State: New York
ZIP Code: 10032
Phone: (212) 305-3275

Authorized Official

Name: MR. MATTHEW D FLYNN, CP
Title: PRESIDENT
Phone: (631) 727-8735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Prosthetic/Orthotic Supplier	335E00000X	Primary

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