# ROSWELL PARK CANCER INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720036593
- **Authorized official:** CANDACE S JOHNSON PHD (PRESIDENT & CEO)
- **Authorized official phone:** (716) 845-2300

## Contact information

- **Practice address:** ELM AND CARLTON ST, BUFFALO, NY 14263-0001
- **Practice address phone:** (716) 845-2300
- **Mailing address:** ELM AND CARLTON ST, BUFFALO, NY 14263-0001
- **Mailing address phone:** (716) 845-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 06/15/2015