Southside Medical Supply, Llc
Prosthetic & Orthotic Supplier
1900 S. Clinton Ave. Ste 320, Rochester
New York, 14618-5719
585-271-7141 585-419-6163
Maps & DirectionsSouthside Medical Supply, Llc is a Prosthetic & Orthotic Supplier in Rochester, New York. It is situated at 1900 S. Clinton Ave. Ste 320, Rochester and its contact number is 585-271-7141. The authorized person of Southside Medical Supply, Llc is Ms. Kelly A Doles
who is Billing Manager of the store and his/her contact number is 585-770-2281.
Southside Medical Supply, Llc is 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.
Complete Profile:
Southside Medical Supply, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 1900 S. Clinton Ave. Ste 320, Rochester,
New York, 14618-5719 |
| Phone: | 585-271-7141 |
| Fax: | 585-419-6163 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Kelly A Doles |
| Position: | Billing Manager |
| Contact Number: | 585-770-2281 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southside Medical Supply, Llc center are as mentioned below.
| NPI Number: | 1568413656 |
| NPI Enumeration Date: | 13 May, 2006 |
| NPI Last Update On: | 25 Nov, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southside Medical Supply, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Prosthetic/orthotic Supplier | | | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 182719GD | Other | New York | Preferred Care |
| 84V | Medicaid | New York | |
| 7273762 | Other | New York | Aetna Health, Inc |
| 02742689 | Medicaid | New York | |
| P0170059SS | Other | New York | Excellus Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southside Medical Supply, Llc
1900 S. Clinton Ave Ste 320 Roch. Ny 14618,
Rochester, New York |
| Zip: | 14618-5719 |
| Phone Number: | 585-271-7141 |
| Fax Number: | 585-419-6163 |
Patients can reach Southside Medical Supply, Llc at
1900 S. Clinton Ave. Ste 320, Rochester, New York or can
call to book an appointment on 585-271-7141.
Comments/ Reviews:
Patients can read all the reviews posted for Southside Medical Supply, Llc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Southside Medical Supply, Llc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.