Organization
LINDEN OAKS SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DOYLE (ADMINISTRATOR)
(585) 267-8250
Entity
Organization
Contact information
Practice address
10 HAGEN DRIVE, ROCHESTER, NY 14625
(585) 267-8200
(585) 267-8256
Mailing address
10 HAGEN DRIVE, ROCHESTER, NY 14625
(585) 267-8200
(585) 267-8256
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2701232R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01980574
—
NY
01
—
7632063
AETNA EL PASO
TX
01
—
7632063
AETNA
—
01
—
BA0101
UPSTATE MEDICARE
—
01
—
FA0727
PREFERRED ONE
—
01
—
P00060627
MEDICARE RAILROAD
—
01
—
P0140059LH
CHILD HEALTH PLUS
—
Enumeration date
04/01/2006
Last updated
08/22/2020
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