Organization
ROGER W TINSLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER W TINSLEY M.D. (OWNER)
(315) 255-3331
Entity
Organization
Contact information
Practice address
17 E GENESEE ST, SUITE 101, AUBURN, NY 13021-4040
(315) 255-3331
Mailing address
17 E GENESEE ST, SUITE 101, AUBURN, NY 13021-4040
(315) 255-3331
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
127128
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00573313
—
NY
01
—
1669477170
INDIVIDUAL NPI
NY
Enumeration date
09/26/2006
Last updated
08/22/2020
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