DoctorLicensePro

Dr. Jason R Pericak, MD

Diagnostic Radiology

NPI: 1689823411 New York
73/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice12/15

18 years

Data Freshness6/10

Updated 1045 days ago

License Status

PennsylvaniaActive
License #

MD459936

Practice Information

Address
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Phone
(716) 836-4646
In Practice Since
September 17, 2008
Data Last Updated
August 21, 2023

NPI Details

NPI Number
1689823411
Status
Active
Taxonomy Code
2085R0202X
Data sourced from CMS NPPES public database. Last verified: August 21, 2023. Report an error