Healthcare Provider Details

I. General information

NPI: 1871747634
Provider Name (Legal Business Name): GEORGE L. UNIS, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E 61ST ST
NEW YORK NY
10065-8183
US

IV. Provider business mailing address

115 E 61ST ST
NEW YORK NY
10065-8183
US

V. Phone/Fax

Practice location:
  • Phone: 212-688-3710
  • Fax: 212-371-1932
Mailing address:
  • Phone: 212-688-3710
  • Fax: 212-371-1932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number097141
License Number StateNY

VIII. Authorized Official

Name: GEORGE LEON UNIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 212-688-3710