| NPI | 1386028546 |
|---|---|
| Doing Business As | EASTSIDE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | RONALD LOREN NETTNIN Vice President 585-227-8750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |