Provider Demographics
NPI:1134135692
Name:UNION HEALTH CENTER INC
Entity Type:Organization
Organization Name:UNION HEALTH CENTER INC
Other - Org Name:UNION HEALTH CENTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PITARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-924-2510
Mailing Address - Street 1:275 7TH AVE
Mailing Address - Street 2:4TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6708
Mailing Address - Country:US
Mailing Address - Phone:212-924-2510
Mailing Address - Fax:212-812-3564
Practice Address - Street 1:275 7TH AVE
Practice Address - Street 2:4TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6708
Practice Address - Country:US
Practice Address - Phone:212-924-2510
Practice Address - Fax:212-812-3564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0042733336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3300566OtherNCPDP PROVIDER IDENTIFICATION NUMBER