Provider Demographics
NPI:1316084726
Name:DUNLEAVY, JASON DANA (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:DANA
Last Name:DUNLEAVY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:55 SPINDRIFT DR
Mailing Address - Street 2:WINDSONG RADIOLOGY GROUP, P.C.
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7800
Mailing Address - Country:US
Mailing Address - Phone:716-631-2500
Mailing Address - Fax:
Practice Address - Street 1:55 SPINDRIFT DR
Practice Address - Street 2:WINDSONG RADIOLOGY GROUP, P.C.
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7800
Practice Address - Country:US
Practice Address - Phone:716-631-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22591502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology