Provider Demographics
NPI:1639398837
Name:ELEFANTE, ANJANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANJANA
Middle Name:
Last Name:ELEFANTE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 WYNDROCK LN
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2261
Mailing Address - Country:US
Mailing Address - Phone:716-845-8892
Mailing Address - Fax:716-845-4095
Practice Address - Street 1:ROSWELL PARK CANCER INSTITUTE
Practice Address - Street 2:ELM & CARLTON ST.
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14263-0001
Practice Address - Country:US
Practice Address - Phone:716-639-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0472921835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY047292OtherNY STATE PHARMACY LICENSE