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Jason R Pericak, MD
Diagnostic Radiology Physician in Williamsville, New York
NPI 1689823411

Jason R Pericak is a Diagnostic Radiology Physician based in Williamsville, NY and is specialized in Diagnostic Radiology. Jason R Pericak practices in Williamsville, NY and has the professional credentials of MD. The NPI Number for Jason R Pericak is 1689823411 and holds a License No. 256124 (New York).

The current practice location address for Jason R Pericak is 111 N Maplemere Rd Ste 120, Williamsville, NY and can be reached out via phone at 716-836-4646 and via fax at 716-836-4696.

Location: 111 N Maplemere Rd Ste 120, Williamsville, NY, 14221-3178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689823411
Provider Name
Jason R Pericak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 N Maplemere Rd Ste 120, Williamsville, NY, 14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
Provider Enumeration Date
09/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03193533 05 NY
institution
Provider Business Practice Location Address Details
Address
111 N Maplemere Rd Ste 120
City
Williamsville
State
New York
Zip
14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
person
Provider Business Mailing Address Details
Address
111 N Maplemere Rd Ste 120
City
Williamsville
State
New York
Zip
14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
256124 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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