Organization
EASTSIDE ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW D FLYNN CP (PRESIDENT)
(631) 727-8735
Entity
Organization
Contact information
Practice address
388 WESTCHESTER AVE, STE 1J, PORT CHESTER, NY 10573-3623
(914) 935-1185
(914) 935-1187
Mailing address
34 COMMERCE DR, STE 200, RIVERHEAD, NY 11901-3118
(631) 727-8735
(631) 727-6834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104578
—
CT
05
—
02247914
—
NY
Enumeration date
06/13/2005
Last updated
06/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us