Whalio Doctors

NPI 1053318022

Eastside Orthotics & Prosthetics, INC

Organisation Prosthetic/Orthotic Supplier Riverhead, NY

Practice location

Address
889 Harrison Ave Suite 2a, Riverhead, NY 11901-2090
Phone
(631) 727-8735
Fax
(631) 727-6834

Authorised official

Name
Matthew D Flynn
Title
President
Phone
(631) 727-8735

Registered specialties (2)

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

Registry record

NPI
1053318022
Entity type
Organization
NPI issued
5 Jul 2005
Record last updated
14 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.