Organization
LANCASTER RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET H SUNG MD (PRESIDENT)
(716) 631-2500
Entity
Organization
Contact information
Practice address
4711 TRANSIT RD, DEPEW, NY 14043-4888
(716) 688-4600
(716) 631-1249
Mailing address
55 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7800
(716) 631-2500
(716) 631-1249
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000510442003
BCBS WNY GRP PROVIDER NO
NY
01
—
0097613
GHI PROVIDER NUMBER
NY
05
—
01317757
—
NY
Enumeration date
05/12/2006
Last updated
08/22/2020
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