Basic Information
| Provider Information | |||||||||
| NPI: | 1982699120 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CADIZ | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 RED CREEK DR | ||||||||
| Address2: | PLUTA CANCER CENTER | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146234272 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854860600 | ||||||||
| FaxNumber: | 5854860649 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 RED CREEK DR | ||||||||
| Address2: | PLUTA CANCER CENTER | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146234272 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854860600 | ||||||||
| FaxNumber: | 5854860649 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2005 | ||||||||
| LastUpdateDate: | 06/18/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 181041 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.