East Side Orthortics and Prosthetics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAST SIDE ORTHORTICS AND PROSTHETICS

Practice address

3843 Union Rd
Suite #15
Cheektowaga, NY 14225-4256

Phone

(347) 853-0295

NPI assigned

Oct 21, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phillip Jackson

Title

Office Manager

Phone

(347) 853-0295

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1023446580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 UNION RD",
            "address_2": "SUITE #15",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3843 UNION RD",
            "address_2": "SUITE #15",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254256",
            "telephone_number": "347-853-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE ORTHORTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-853-0295"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Duve, ATR-BC, LCAT
• Herbert Duvivier, M.D.
• Lisa Dworsky, LPN
• Wieslaw Dziedzic, PTA
• Darlene Ann Dzik, M.D.
• Gabrielle Eaton, M.A. CCC-SLP
• Suzanne Mary Eberle, RPH
• Eckerd Corporation
• Eckerd Corporation
• Abeer Eddib, MD

• Durable Medical Equipment & Medical Supplies in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.