National Provider Identifier

June M Mikkelson, MS, CGC

June M Mikkelson, MS, CGC is listed in the NPPES registry with a primary specialty of Genetic Counselor (M.S.) in Buffalo, NY and a listed phone number of (716) 845-8400.

NPI 1891200374Buffalo, NYGenetic Counselor (M.S.)

Profile Overview

NPI
1891200374
Provider Type
Individual
Primary Specialty
Genetic Counselor (M.S.)
Enumeration Date
December 06, 2017
Last Updated
December 06, 2017

Practice Location

  • Roswell Park Cancer Institute C&V 233
  • Buffalo, NY 14263-0001

Phone: (716) 845-8400

Specialties

  • Genetic Counselor (M.S.) (170300000X)
Full Record
NPI
1891200374
Entity Type
Individual
Last Name
Mikkelson
First Name
June
Middle Name
M
Credential
MS, CGC
Provider Other Last Name
Malkiewicz
Provider Other First Name
June
Provider Other Middle Name
M
Provider Other Credential Text
MS, CGC
Provider Other Last Name Type Code
1
Mailing Street Address
Roswell Park Cancer Institute C&V 233
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-8400
Mailing Fax
(716) 845-5720
Practice Street Address
Roswell Park Cancer Institute C&V 233
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-8400
Practice Fax
(716) 845-5720
Enumeration Date
December 06, 2017
Last Updated
December 06, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Genetic Counselor (M.S.) (170300000X)