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Organization

WILLIAMSVILLE MEDICAL IMAGING PC

Active
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Organization

WILLIAMSVILLE MEDICAL IMAGING 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
55 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7800
(716) 631-2500
(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
000515035001
BCBS WNY GRP PROVIDER NUM
NY
05
01396721
NY
01
4101645
GHI PROVIDER NUMBER
NY
Enumeration date
05/12/2006
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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