Wellsville Radiology, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

134475 Issued in NY

Legal business name

WELLSVILLE RADIOLOGY, PLLC

Practice address

191 N Main St
Wellsville, NY 14895-1150

Phone

(585) 593-1100

NPI assigned

Aug 24, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammad Ayyub, M.D.

Title

Medical Director

Phone

(585) 593-1100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1508859620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GATES RD",
            "address_2": "STE 3",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502288",
            "telephone_number": "607-772-9462",
            "fax_number": "607-772-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-593-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSVILLE RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "AYYUB",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "585-593-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "134475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Watcke
• Carina M Watson
• Wellsville Central Schools
• Wellsville Family Dental PLLC
• Wellsville Manor LLC
• Wellsville Volunteer Ambulance Corps Inc
• Wellsville Wellness Psychological
• Lindy L White, BA
• Margaret White
• Emily Nicole Whitehouse

• Diagnostic Radiology Physician in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.