Provider Demographics
NPI:1356903967
Name:UNITY LINDEN OAKS SURGERY CENTER
Entity type:Organization
Organization Name:UNITY LINDEN OAKS SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEACOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-922-6201
Mailing Address - Street 1:1065 SENATOR KEATING BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-256-1330
Mailing Address - Fax:585-256-3823
Practice Address - Street 1:1065 SENATOR KEATING BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-256-1330
Practice Address - Fax:585-256-3823
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITY LINDEN OAKS SURGERY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical