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Southside Medical Supply, Llc
Prosthetic/Orthotic Supplier in Rochester, New York
NPI 1568413656

Southside Medical Supply, Llc is a Prosthetic/Orthotic Supplier based in Rochester, NY. Southside Medical Supply, Llc practices in Rochester, NY. The NPI Number for Southside Medical Supply, Llc is 1568413656 and holds a License No. (New York).

The current practice location address for Southside Medical Supply, Llc is 1900 S. Clinton Ave. Ste 320, Rochester, NY and can be reached out via phone at 585-271-7141 and via fax at 585-419-6163.

Location: 1900 S. Clinton Ave. Ste 320, Rochester, NY, 14618-5719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568413656
Provider Name
Southside Medical Supply, Llc
Credential
Provider Entity Type
Organization
Address
1900 S. Clinton Ave. Ste 320, Rochester, NY, 14618-5719
Phone Number
585-271-7141
Fax Number
585-419-6163
Provider Enumeration Date
05/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182719GD 01 NY PREFERRED CARE
84V 05 NY
7273762 01 NY AETNA HEALTH, INC
02742689 05 NY
P0170059SS 01 NY EXCELLUS BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1900 S. Clinton Ave. Ste 320
City
Rochester
State
New York
Zip
14618-5719
Phone Number
585-271-7141
Fax Number
585-419-6163
person
Provider Business Mailing Address Details
Address
1900 S. Clinton Ave. Ste 320
City
Rochester
State
New York
Zip
14618-5719
Phone Number
585-271-7141
Fax Number
585-419-6163
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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