WILLIAMSVILLE MEDICAL IMAGING PC NPI 1396795944

NPI Information

NPI: 1396795944
Provider Name: WILLIAMSVILLE MEDICAL IMAGING PC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
CLIA Number: 33D2092861
Address: 55 SPINDRIFT DR
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 631-2500

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NPI Details

WILLIAMSVILLE MEDICAL IMAGING PC is a diagnostic radiology radiology in Williamsville, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WILLIAMSVILLE MEDICAL IMAGING PC NPI is 1396795944. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 SPINDRIFT DR
WILLIAMSVILLE, NY
ZIP 14221-800
Phone: (716) 631-2500
Fax: (716) 631-1249

The provider's authorized official is Janet H Sung .
The authorized official title is President and has the following contact phone number (716) 631-2500.

The CLIA number assigned to this NPI record is 33D2092861 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000515035001	OTHER	NEW YORK	BCBS WNY GRP PROVIDER NUM
2	01396721	MEDICAID	NEW YORK
3	4101645	OTHER	NEW YORK	GHI PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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