Provider Demographics
NPI:1508195306
Name:THE UNITY HOSPITAL OF ROCHESTER
Entity Type:Organization
Organization Name:THE UNITY HOSPITAL OF ROCHESTER
Other - Org Name:UNITY DIALYSIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT HEALTH CARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-723-7185
Mailing Address - Street 1:5 LAND RE WAY
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1735
Mailing Address - Country:US
Mailing Address - Phone:585-368-6610
Mailing Address - Fax:585-368-6615
Practice Address - Street 1:5 LAND RE WAY
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-1735
Practice Address - Country:US
Practice Address - Phone:585-368-6610
Practice Address - Fax:585-368-6615
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UNITY HOSPITAL OF ROCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-08
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY70008AMedicare PIN
NY333558Medicare Oscar/Certification