Healthcare Provider Details

I. General information

NPI: 1942231295
Provider Name (Legal Business Name): PLUTA FAMILY CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 RED CREEK DR
ROCHESTER NY
14623-4272
US

IV. Provider business mailing address

125 RED CREEK DR
ROCHESTER NY
14623-4272
US

V. Phone/Fax

Practice location:
  • Phone: 585-486-0600
  • Fax: 585-486-0649
Mailing address:
  • Phone: 585-486-0600
  • Fax: 585-486-0649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number2701233R
License Number StateNY

VIII. Authorized Official

Name: JOHN T TURO
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 585-486-0581