Healthcare Provider Details

I. General information

NPI: 1023468121
Provider Name (Legal Business Name): UNITY IN THE COMMUNITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COLFAX AVE LOWER LEVEL
BINGHAMTON NY
13905-2107
US

IV. Provider business mailing address

20 COLFAX AVE LOWER LEVEL
BINGHAMTON NY
13905-2107
US

V. Phone/Fax

Practice location:
  • Phone: 212-779-4700
  • Fax: 212-779-4136
Mailing address:
  • Phone: 212-779-4700
  • Fax: 212-779-4136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. VERDI B. WEST-SHELBORNE
Title or Position: CHAIRMAN, CEO
Credential:
Phone: 212-779-4700