Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southside Medical Supply, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1568413656

Southside Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies in Rochester, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 S Clinton Ave Ste 320
Rochester, NY 14618-5719
Phone: (585) 271-7141
Fax: (585) 419-6163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1568413656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Doles — Billing Manager · (585) 770-2281
NPI enumeratedMay 13, 2006
Last updated in NPPESNovember 25, 2014
Mailing address1900 S. Clinton Ave Ste 320 Roch. Ny 14618, Rochester, NY 14618-5719

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