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Contact Information

ROSWELL PARK CANCER INSTITUTE
203 PARK CLUB LANE
SUITE Z-200
WILLIAMSVILLE, NY14221
 Phone: 716-845-8936
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ROSWELL PARK CANCER INSTITUTE

NPI # 1871379586
LBN Legal business name ROSWELL PARK CANCER INSTITUTE
Authorized official CANDACE JOHNSON - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2023
Last updated 09/07/2023 - About 3 years ago
Identifiers
NY Medicaid 00354518
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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