Organization
ROSWELL PARK CANCER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE S JOHNSON PHD (PRESIDENT AND CEO)
(716) 845-5772
Entity
Organization
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263
(716) 845-2300
(716) 845-8386
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0002
(716) 845-2300
(716) 845-8386
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1401010H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354518
—
NY
Enumeration date
01/23/2007
Last updated
02/08/2023
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