Provider Demographics
NPI:1265485262
Name:CANCER TREATMENT SERVICES OF WESTERN NEW YORK, PC
Entity Type:Organization
Organization Name:CANCER TREATMENT SERVICES OF WESTERN NEW YORK, PC
Other - Org Name:CTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VILASINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANBHAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-633-7600
Mailing Address - Street 1:630 FRANKHAUSER RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2121 MAIN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2693
Practice Address - Country:US
Practice Address - Phone:716-838-3880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02265887Medicaid
NYAA1083Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER