Provider Demographics
NPI:1720471246
Name:THE UNITY HOSPITAL OF ROCHESTER
Entity Type:Organization
Organization Name:THE UNITY HOSPITAL OF ROCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMACHANDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-429-2225
Mailing Address - Street 1:160 ELMGROVE PARK
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1359
Mailing Address - Country:US
Mailing Address - Phone:585-426-1234
Mailing Address - Fax:585-247-2797
Practice Address - Street 1:160 ELMGROVE PARK
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1359
Practice Address - Country:US
Practice Address - Phone:585-426-1234
Practice Address - Fax:585-247-2797
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UNITY HOSPITAL OF ROCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-09
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00419750Medicaid
NY00419750Medicaid