ROSWELL PARK CANCER INSTITUTE NPI 1720036593

NPI Information

NPI: 1720036593
Provider Name: ROSWELL PARK CANCER INSTITUTE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
ELM AND CARLTON ST
BUFFALO, NY
ZIP 14263
Phone: (716) 845-2300
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ROSWELL PARK CANCER INSTITUTE is a multi-specialty clinic center in Buffalo, NY. ROSWELL PARK CANCER INSTITUTE NPI is 1720036593. The provider is registered as an organization entity type.

The provider's business location address is:

ELM AND CARLTON ST
BUFFALO, NY
ZIP 14263-001
Phone: (716) 845-2300

The provider's authorized official is Candace S Johnson .
The authorized official title is President & Ceo and has the following contact phone number (716) 845-2300.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AA0128	MEDICARE PIN	NEW YORK
2	02997079	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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