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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IAN JERMAINE WILSON, M.D.

Active Sole Proprietor

DR. IAN JERMAINE WILSON, M.D. is a Diagnostic Radiology healthcare provider located in WILLIAMSVILLE, New York. NPI 1871793570 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · WILLIAMSVILLE, NY

Registration Details

NPI Number
1871793570
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2007 (19.092933102195 yrs)
Last Updated
Feb 24, 2025
Licenses
036169012 (IL)
244637 (NY)
036169012 (IL)
244637 (NY)
Sole Proprietor
Yes

Practice Information

Address
55 SPINDRIFT DR
WILLIAMSVILLE, NY, 142217891
Browse NY providers · Browse ZIP 14221
Phone
7166312500
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Therapeutic Radiology
Additional Specialty
Therapeutic Radiology
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in WILLIAMSVILLE, NY

Name Credential NPI
ROSEANNE OLIVERIO MD 1073516985
PHILLIP ADAM BAUM MD 1023016060
CAROL ANN JACKSON-GIBSON MD 1164421442
DR. ASHOK NIGAM M.D. 1912906256
DR. VINOD NIGAM MD 1376542753
HARI GOPAL M.D. 1336138502
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.