Provider Demographics
NPI:1194091801
Name:UNITY LINDEN OAKS SURGERY CENTER, LLC
Entity type:Organization
Organization Name:UNITY LINDEN OAKS SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:CRILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-368-6272
Mailing Address - Street 1:10 HAGEN DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2697
Mailing Address - Country:US
Mailing Address - Phone:585-267-8200
Mailing Address - Fax:
Practice Address - Street 1:10 HAGEN DR
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2697
Practice Address - Country:US
Practice Address - Phone:585-267-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical